Kyle Jervis, PA-C - Medicare Physician Assistant in Goodyear, AZ

Kyle Jervis, PA-C is a medicare enrolled "Physician Assistant" in Goodyear, Arizona. His current practice location is 13677 W Mcdowell Rd # Az85395, Goodyear, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 882-1500.

Kyle Jervis is licensed to practice in Arizona (license number 7195) 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 1053846659.

Contact Information

Kyle Jervis, PA-C
13677 W Mcdowell Rd # Az85395,
Goodyear, AZ 85395-2635
(623) 882-1500
Not Available



Provider's Profile

Full NameKyle Jervis
GenderMale
SpecialityPhysician Assistant
Location13677 W Mcdowell Rd # Az85395, Goodyear, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053846659
  • Provider Enumeration Date: 04/21/2017
  • Last Update Date: 06/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2062787971
  • Enrollment ID: I20171003005834

Medical Identifiers

Medical identifiers for Kyle Jervis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053846659NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 7195 (Arizona)Primary
363A00000XPhysician Assistant C06468 (Maryland)Secondary

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. Kyle Jervis 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 AddressPractice Location Address
Kyle Jervis, PA-C
19947 W Rancho Dr,
Litchfield Park, AZ 85340-2667

Ph: (602) 740-0131
Kyle Jervis, PA-C
13677 W Mcdowell Rd # Az85395,
Goodyear, AZ 85395-2635

Ph: (623) 882-1500

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› Verified 9 days ago


Physician Assistant Nurses in Goodyear, AZ

Ebenezer Khuram Qureshi, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1507 N Litchfield Rd Ste 200, Goodyear, AZ 85395
Phone: 623-215-0040    Fax: 623-935-9602
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
Thomas Landon Helm, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85395
Phone: 623-882-1500    

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