Brita Jo Overly, PA-C is a
Physician Assistant - Medical based in Phoenox, Arizona. Brita Jo Overly is licensed to practice in Arizona (license number 4207) and her current practice location is
7010 Chauncey Ln, Suite 225, Phoenox, Arizona. She can be reached at her office (for appointments etc.) via phone at
(480) 585-5200.
NPI number for Brita Jo Overly is 1740432921 and her current mailing address is 7010 E Chauncey Ln, Suite 225, Phoenix, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740432921.
Provider's Profile
Full Name | Brita Jo Overly |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 7010 Chauncey Ln, Phoenox, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740432921
- Provider Enumeration Date: 10/19/2008
- Last Update Date: 03/27/2012
Medical Identifiers
Medical identifiers for Brita Jo Overly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740432921 | NPI | - | NPPES |
593232 | Medicaid | AZ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 4297 (Arizona) | Secondary |
363AM0700X | Physician Assistant - Medical | 4207 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brita Jo Overly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Brita Jo Overly, PA-C 7010 E Chauncey Ln, Suite 225, Phoenix, AZ 85054-3117 Ph: (480) 585-5200 | Brita Jo Overly, PA-C 7010 Chauncey Ln, Suite 225, Phoenox, AZ 85054-3117 Ph: (480) 585-5200 |
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