Ebenezer Khuram Qureshi, PA-C in Goodyear, AZ - Medicare Physician Assistant

Ebenezer Khuram Qureshi, PA-C is a medicare enrolled "Physician Assistant - Medical" in Goodyear, Arizona. His current practice location is 1507 N Litchfield Rd Ste 200, Goodyear, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 215-0040.

Ebenezer Khuram Qureshi is licensed to practice in Arizona (license number 3253) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013947381.

Contact Information

	Ebenezer Khuram Qureshi, PA-C
	1507 N Litchfield Rd Ste 200, Goodyear, AZ 85395-1201
	(623) 215-0040
	(623) 935-9602

Provider's Profile

Full Name	Ebenezer Khuram Qureshi
Gender	Male
Speciality	Physician Assistant - Medical
Location	1507 N Litchfield Rd Ste 200, Goodyear, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013947381
Provider Enumeration Date: 07/03/2006
Last Update Date: 07/01/2022

Medicare PECOS Information:

PECOS PAC ID: 6406861525
Enrollment ID: I20060210000423

Medical Identifiers

Medical identifiers for Ebenezer Khuram Qureshi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013947381	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	58215 (California)	Secondary
363AM0700X	Physician Assistant - Medical	3253 (Arizona)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ebenezer Khuram Qureshi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ebenezer Khuram Qureshi, PA-C 1507 N Litchfield Rd Ste 200, Goodyear, AZ 85395-1201 Ph: (623) 215-0040	Ebenezer Khuram Qureshi, PA-C 1507 N Litchfield Rd Ste 200, Goodyear, AZ 85395-1201 Ph: (623) 215-0040

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Physician Assistant Nurses in Goodyear, AZ

Sara A. Daily, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 13555 W Mcdowell Rd, Suite 101, Goodyear, AZ 85395 Phone: 623-935-4700 Fax: 623-935-4707
Jenna L Graham, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 13555 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-935-5522 Fax: 623-935-3220
Theodis Perkins, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13555 W Mcdowell Rd, Suite 101, Goodyear, AZ 85395 Phone: 623-935-4700 Fax: 623-935-4707
Ms. Stacie Lyn Patterson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13677 W. Mc Dowell Road, 201, Goodyear, AZ 85395 Phone: 623-882-1926 Fax: 623-882-1709
Kyle Jervis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 13677 W Mcdowell Rd # Az85395, Goodyear, AZ 85395 Phone: 623-882-1500
Thomas Landon Helm, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-882-1500

Ebenezer Khuram Qureshi, PA-C - Medicare Physician Assistant in Goodyear, AZ