| Jerrica Park, PA-C | |
|
1120 W University Ave Ste 101, Flagstaff, AZ 86001-2851 | |
| (928) 522-1300 | |
| (928) 522-1301 |
| Full Name | Jerrica Park |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1120 W University Ave Ste 101, Flagstaff, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245821669 | NPI | - | NPPES |
| 157725 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9452 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jerrica Park, PA-C Po Box 3630, Flagstaff, AZ 86003-3630 Ph: (928) 522-9879 | Jerrica Park, PA-C 1120 W University Ave Ste 101, Flagstaff, AZ 86001-2851 Ph: (928) 522-1300 |
Mr. Bruce A Mortensen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2000 S Thompson St, Flagstaff, AZ 86001 Phone: 928-226-6400 Fax: 928-226-6410 | |
Corey Allen Carver, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1840 N Jasper Dr Ste 2, Flagstaff, AZ 86001 Phone: 866-974-2673 Fax: 866-939-2673 | |
Erin H Engel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 107 E Oak Ave, Flagstaff, AZ 86001 Phone: 928-779-7880 Fax: 928-779-7895 | |
Kelly Michele Czarnecki, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1490 N Turquoise Dr, Flagstaff, AZ 86001 Phone: 928-774-5074 Fax: 928-774-0884 | |
Kimberly Sargent, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 107 E Oak Ave, Flagstaff, AZ 86001 Phone: 928-779-7880 | |
Mr. Raymond Wolfgang Lieber, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 107 E Oak Ave, Flagstaff, AZ 86001 Phone: 928-779-7880 Fax: 928-779-7895 | |
Tara Brzezinski, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2500 S Woodlands Village Blvd Ste 12, Flagstaff, AZ 86001 Phone: 602-277-7526 |