| Edward Willard Bradshaw Iii, PA-C | |
|
72 Lake Havasu Ave S Ste 102, Lake Havasu City, AZ 86403-0857 | |
| (928) 453-2211 | |
| (928) 453-2213 |
| Full Name | Edward Willard Bradshaw Iii |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 72 Lake Havasu Ave S Ste 102, Lake Havasu City, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235192774 | NPI | - | NPPES |
| 040403 | Medicaid | AZ | |
| 291637100 | Medicaid | FL | |
| P00221346 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA2576 (Florida) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 5357 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Willard Bradshaw Iii, PA-C 72 Lake Havasu Ave S Ste 102, Lake Havasu City, AZ 86403-0857 Ph: (928) 453-2211 | Edward Willard Bradshaw Iii, PA-C 72 Lake Havasu Ave S Ste 102, Lake Havasu City, AZ 86403-0857 Ph: (928) 453-2211 |
Mr. Clinton Richard Martin, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1951 Mesquite Ave Ste F, Lake Havasu City, AZ 86403 Phone: 928-963-9333 Fax: 928-361-2611 | |
Janet Marie Marinelli, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 40 Capri Blvd Ste 102, Lake Havasu City, AZ 86403 Phone: 602-955-1000 Fax: 602-508-4830 | |
Margaret B Holmes, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1720 Mesquite Ave, Suite 102, Lake Havasu City, AZ 86403 Phone: 925-854-3333 Fax: 928-854-3335 | |
Mr. Matthew Preston Rainbolt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3619 Desert Rose Ln, Lake Havasu City, AZ 86404 Phone: 337-349-6708 | |
Ms. Gayle Ann Clausen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1830 Mesquite Ave, Suite A, Lake Havasu City, AZ 86403 Phone: 928-855-8071 Fax: 928-855-6869 | |
Paul Queior, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185 | |
George Macey, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3868 Mission Dr N, Lake Havasu City, AZ 86406 Phone: 928-453-8650 |