| Mr Wyatt Randolph Eddy, MS, MMS, PA-C | |
|
3269 Stockton Hill Rd, Kingman, AZ 86409-3619 | |
| (928) 757-2101 | |
| Not Available |
| Full Name | Mr Wyatt Randolph Eddy |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 3269 Stockton Hill Rd, Kingman, 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 |
|---|---|---|---|
| 1285016394 | NPI | - | NPPES |
| 033429 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 6055 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kingman Regional Medical Center | Kingman, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kingman Healthcare Inc | 6901791367 | 170 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Wyatt Randolph Eddy, MS, MMS, PA-C 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 Ph: (928) 757-2101 | Mr Wyatt Randolph Eddy, MS, MMS, PA-C 3269 Stockton Hill Rd, Kingman, AZ 86409-3619 Ph: (928) 757-2101 |
Margot D Henderson, P.A.-C. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1755 Airway Ave, Kingman, AZ 86409 Phone: 928-681-1234 Fax: 928-681-1811 | |
Mr. Maikel Hernandez Diaz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3435 Karen Ave, Kingman, AZ 86401 Phone: 305-962-2690 | |
Troy Allen Davison, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3931 Stockton Hill Rd, Ste C, Kingman, AZ 86409 Phone: 928-681-6100 | |
Binh Thanh Nguyen, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3269 N Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-681-8577 | |
Augusto Ramirez, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 2302 N Stockton Hill Rd Ste E-g, Kingman, AZ 86401 Phone: 928-352-2560 | |
Ms. Maria Fernanda Guardia, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3636 N Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-757-3680 Fax: 928-757-3614 | |
Sharon Ellen Omalley, PA C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3505 Western Ave, Mohave Mental Health Clinic Inc, Kingman, AZ 86409 Phone: 928-757-8111 Fax: 928-757-3256 |