| Lisa Anne Rotellini-coltvet, PA-C | |
|
5777 E Mayo Blvd, Phoenix, AZ 85054-4502 | |
| (480) 301-8000 | |
| Not Available |
| Full Name | Lisa Anne Rotellini-coltvet |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 20 Years |
| Location | 5777 E Mayo Blvd, Phoenix, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134150725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | C02957 (Maryland) | Secondary |
| 363A00000X | Physician Assistant | 4314 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayo Clinic - Arizona | 7012829930 | 1400 |
| Entity Name | Mayo Clinic Arizona |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558332494 PECOS PAC ID: 7012829930 Enrollment ID: O20031105000782 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Anne Rotellini-coltvet, PA-C 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 Ph: (480) 301-8000 | Lisa Anne Rotellini-coltvet, PA-C 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 Ph: (480) 301-8000 |
Perry E Edinger, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2222 E Highland Ave, Suite 300, Phoenix, AZ 85016 Phone: 602-277-6211 | |
Mr. Andrew Shane Kuhlman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1635 E Myrtle Ave, Ste 400, Phoenix, AZ 85020 Phone: 602-944-2900 Fax: 602-944-0064 | |
Anh Truong Le, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 727 E Bethany Home Rd Ste D118, Phoenix, AZ 85014 Phone: 602-279-2400 Fax: 602-279-5890 | |
Ms. Courtney Whidden Page, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18444 N 25th Ave Ste 210, Phoenix, AZ 85023 Phone: 669-742-6738 Fax: 866-939-2673 | |
Mr. Diego C. Alvarado, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3333 E Camelback Rd Ste 122, Phoenix, AZ 85018 Phone: 602-522-1900 Fax: 602-381-3281 | |
Jessica Jerdin, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 500 W Thomas Rd Ste 800, Phoenix, AZ 85013 Phone: 602-406-1234 Fax: 602-406-6368 | |
Miss Amy Leticia Brown, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 |