| Kevin Earlywine, PA-C | |
|
40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 | |
| (602) 714-1271 | |
| (480) 987-6566 |
| Full Name | Kevin Earlywine |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 40773 N Ironwood Dr, San Tan Valley, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023083144 | NPI | - | NPPES |
| Z173812 | Other | MEDICARE PTAN | |
| 501347 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2140 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner Urgent Care Arizona Llc | 3678749496 | 52 |
| Banner Urgent Care Services Llc | 4284921610 | 200 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Earlywine, PA-C 1250 S Clearview Ave Ste 100, Mesa, AZ 85209-3378 Ph: (480) 988-9108 | Kevin Earlywine, PA-C 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 Ph: (602) 714-1271 |
Marta Rebeccah Liang, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 37100 N Gantzel Rd Ste 106, San Tan Valley, AZ 85140 Phone: 480-821-3600 Fax: 480-857-2667 | |
Cassandra Dorame, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 270 E Hunt Hwy Ste A-2, San Tan Valley, AZ 85143 Phone: 480-882-2222 Fax: 480-882-2220 | |
Abbey P. Raynor, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 37100 N Gantzel Rd Ste 106, San Tan Valley, AZ 85140 Phone: 480-821-3600 Fax: 480-821-3610 | |
Katelyn Anne Virnelson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 36457 N Gantzel Rd Ste 101, San Tan Valley, AZ 85140 Phone: 480-214-9000 | |
Daniel John Ramaekers, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 36108 N Vidlak Dr, San Tan Valley, AZ 85143 Phone: 602-200-4570 | |
Brooke Brennan, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 31339 N Blackfoot Dr, San Tan Valley, AZ 85143 Phone: 480-215-9446 |