| Tracey John, PA-C | |
|
44572 W. Bowlin Road, Maricopa, AZ 85138-8922 | |
| (480) 216-9417 | |
| Not Available |
| Full Name | Tracey John |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 44572 W. Bowlin Road, Maricopa, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780043174 | NPI | - | NPPES |
| 114369 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 6316 (Arizona) | Primary |
| Entity Name | Banner Urgent Care Arizona LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316349855 PECOS PAC ID: 3678749496 Enrollment ID: O20111228000784 |
| Entity Name | Banner Urgent Care Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609229764 PECOS PAC ID: 4284921610 Enrollment ID: O20160928001188 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey John, PA-C 44572 W. Bowlin Road, Maricopa, AZ 85138-8922 Ph: (480) 216-9417 | Tracey John, PA-C 44572 W. Bowlin Road, Maricopa, AZ 85138-8922 Ph: (480) 216-9417 |
Robert G Mitchelson, P A Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 42421 W Cheyenne Dr, Maricopa, AZ 85138 Phone: 480-710-2605 |
Jacob Fisher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 44572 W Bowlin Rd, Maricopa, AZ 85138 Phone: 520-568-2245 |
Sara Leah Allen, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21300 N John Wayne Pkwy Ste 115, Maricopa, AZ 85139 Phone: 520-426-3424 Fax: 520-568-9560 |
Natalia Richmond, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 44572 W Bowlin Rd, Maricopa, AZ 85138 Phone: 480-433-8514 |
Kaelyn Tkacik, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 44870 W Hathaway Ave Ste 6, Maricopa, AZ 85139 Phone: 480-214-9000 Fax: 480-214-9999 |
Jason D Redd, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21300 N John Wayne Pkwy Unit 120, Maricopa, AZ 85139 Phone: 623-253-9550 |
Ms. Rupinder K Dhillon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 20236 N. John Wayne Pkwy, Ste 100, Maricopa, AZ 85139 Phone: 520-518-7510 Fax: 520-518-7512 |