| Theresa Koppal, PA-C | |
|
2940 E Banner Gateway Dr Ste 200-250, Gilbert, AZ 85234-2168 | |
| (602) 548-5444 | |
| (602) 772-3801 |
| Full Name | Theresa Koppal |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 2940 E Banner Gateway Dr Ste 200-250, Gilbert, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033510508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 5748 (Arizona) | Secondary |
| 363A00000X | Physician Assistant | 5748 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Arizona Spine And Joint Hospital | Mesa, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthopedic Specialists Of North America Pllc | 7719014505 | 270 |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Koppal, PA-C Po Box 80217, Phoenix, AZ 85060-0217 Ph: (602) 385-2115 | Theresa Koppal, PA-C 2940 E Banner Gateway Dr Ste 200-250, Gilbert, AZ 85234-2168 Ph: (602) 548-5444 |
Samuel Dean Fox, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4915 E Baseline Rd Ste 102, Gilbert, AZ 85234 Phone: 480-646-8660 Fax: 480-646-8665 | |
Ethan Everlith, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2940 E Banner Gateway Dr Ste 200, Gilbert, AZ 85234 Phone: 480-964-2908 | |
Macy Jo Kopp, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2946 E Banner Gateway Dr, Gilbert, AZ 85234 Phone: 480-256-6444 | |
Clara Michelle Goodman, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3530 S Val Vista Dr Ste C101, Gilbert, AZ 85297 Phone: 602-491-0703 Fax: 833-661-1781 | |
Amanda E Shelley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2196 E Williams Field Rd, #116, Gilbert, AZ 85295 Phone: 480-237-1395 Fax: 602-218-4076 | |
Clay Daniel Shorter, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2940 E Banner Gateway Dr Ste 200-250, Gilbert, AZ 85234 Phone: 602-648-5444 Fax: 602-772-3801 | |
Carolyn Renee Wagner Von Hoff, P.A.C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3591 S Mercy Rd Ste 204, Gilbert, AZ 85297 Phone: 866-974-2673 Fax: 866-939-2673 |