| William Clark, | |
|
1042 Willow Creek Rd, Prescott, AZ 86301-1673 | |
| (928) 379-0838 | |
| Not Available |
| Full Name | William Clark |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 1042 Willow Creek Rd, Prescott, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184362659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 9297 (Arizona) | Primary |
| Entity Name | Honorhealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801092564 PECOS PAC ID: 1456258607 Enrollment ID: O20031216000350 |
| Entity Name | Medical Services of Prescott, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508816257 PECOS PAC ID: 5698662724 Enrollment ID: O20040302001390 |
| Entity Name | Emcare - Pnx Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902855992 PECOS PAC ID: 3779574165 Enrollment ID: O20040524000667 |
| Entity Name | Loop 101 Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376573378 PECOS PAC ID: 0840295481 Enrollment ID: O20061003000466 |
| Entity Name | 303 Emergency Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518398585 PECOS PAC ID: 2567692528 Enrollment ID: O20140313001083 |
| Mailing Address | Practice Location Address |
|---|---|
| William Clark, 1042 Willow Creek Rd, Prescott, AZ 86301-1673 Ph: (928) 379-0838 | William Clark, 1042 Willow Creek Rd, Prescott, AZ 86301-1673 Ph: (928) 379-0838 |
Mr. Joseph Paul Maidl, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1998 Prescott Lakes Pkwy Apt 250, Prescott, AZ 86301 Phone: 405-795-7784 |
Heather Buttrum, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 743 Miller Valley Rd, Prescott, AZ 86301 Phone: 928-777-9600 Fax: 855-449-5560 |
Mr. Matthew Alexander Namihas, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 802 Ainsworth Dr, Suite A, Prescott, AZ 86301 Phone: 928-776-0601 Fax: 928-776-0620 |
Shalena Peterson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3120 Clearwater Dr, Prescott, AZ 86305 Phone: 928-771-3704 Fax: 928-771-0434 |
Victoria Wood, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 500 N Us Highway 89, Prescott, AZ 86313 Phone: 928-717-7413 |
Mr. Patrick J Mcgrath, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1947 Commerce Center Cir Ste A, Prescott, AZ 86301 Phone: 928-458-5723 Fax: 928-237-1787 |
Nicole Martin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1090 Commerce Dr, Prescott, AZ 86305 Phone: 480-926-7800 |