Ebenezer Khuram Qureshi, PA-C - Medicare Physician Assistant in Goodyear, AZ

Ebenezer Khuram Qureshi, PA-C is a medicare enrolled "Physician Assistant - Medical" in Goodyear, Arizona. His current practice location is 1507 N Litchfield Rd Ste 200, Goodyear, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 215-0040.

Ebenezer Khuram Qureshi is licensed to practice in Arizona (license number 3253) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013947381.

Contact Information

Ebenezer Khuram Qureshi, PA-C
1507 N Litchfield Rd Ste 200,
Goodyear, AZ 85395-1201
(623) 215-0040
(623) 935-9602

Map and Direction




Provider's Profile

Full NameEbenezer Khuram Qureshi
GenderMale
SpecialityPhysician Assistant - Medical
Location1507 N Litchfield Rd Ste 200, Goodyear, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013947381
  • Provider Enumeration Date: 07/03/2006
  • Last Update Date: 07/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6406861525
  • Enrollment ID: I20060210000423

Medical Identifiers

Medical identifiers for Ebenezer Khuram Qureshi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013947381NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 58215 (California)Secondary
363AM0700XPhysician Assistant - Medical 3253 (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. Ebenezer Khuram Qureshi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ebenezer Khuram Qureshi, PA-C
1507 N Litchfield Rd Ste 200,
Goodyear, AZ 85395-1201

Ph: (623) 215-0040
Ebenezer Khuram Qureshi, PA-C
1507 N Litchfield Rd Ste 200,
Goodyear, AZ 85395-1201

Ph: (623) 215-0040

Reviews and Comments


Physician Assistant Nurses in Goodyear, AZ

Jenna L Graham, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 13555 W Mcdowell Rd, Goodyear, AZ 85395
Phone: 623-935-5522    Fax: 623-935-3220
Theodis Perkins, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 13555 W Mcdowell Rd, Suite 101, Goodyear, AZ 85395
Phone: 623-935-4700    Fax: 623-935-4707
Ms. Stacie Lyn Patterson, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 13677 W. Mc Dowell Road, 201, Goodyear, AZ 85395
Phone: 623-882-1926    Fax: 623-882-1709
Grace Zintak, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 13471 W Cornerstone Blvd, Goodyear, AZ 85395
Phone: 480-964-2273    
Kyle Jervis, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 13677 W Mcdowell Rd # Az85395, Goodyear, AZ 85395
Phone: 623-882-1500    
Thomas Landon Helm, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85395
Phone: 623-882-1500    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.