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Active NPI 1447408570 Individual Practitioner Male Practitioner

Carlos Ernesto Pena , PA

Physician Assistant • Douglas, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Carlos Pena, PA is a certified Physician Assistant practicing in Douglas, AZ. With approximately 18 years of clinical experience since completing medical education in 2008, Carlos Pena delivers high-quality medical care to the local community at 100 E 5TH ST.

Carlos Pena is affiliated with Bisbee Hospital Association and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

100 E 5th St

Douglas, AZ 856072859

Telephone 5203647659
Fax 5203648541
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Douglas, AZ

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
18 Yrs +1.5 yrs vs City Avg
City Avg: 16.5 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Douglas, AZ (3711 Statewide)

Telehealth Adoption Rate
50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pena (18 Years) 18 Yrs
Douglas Specialty Average (16.5 Years) 16.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-04-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 4229

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Bisbee Hospital Association

101 Cole Ave, Bisbee, AZ 856031327

Phone: 5204325383

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Dr. Edward Miller , DO

Obstetrics & Gynecology

NPI 1003817263

Doctor of Osteopathic Medicine (D.O.)

NPI 1043206394

Doctor of Medicine (M.D.)

Dr. Sean Spurr , DO

Internal Medicine

NPI 1104213461

Doctor of Osteopathic Medicine (D.O.)

NPI 1154322741

Doctor of Medicine (M.D.), Master of Public Health

Pearlie Wilson-Natal , FNP

Nurse Practitioner - Family

NPI 1194169102

Family Nurse Practitioner

Jennifer Chamness , NP

Nurse Practitioner - Family

NPI 1225405202

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location January 07, 2021

Registered at 100 E 5TH ST, DOUGLAS, AZ 856072859 (Tel: 5203647659)

NPI Profile Active June 12, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 12, 2013

Registered at 1100 F. AVENUE, DOUGLAS, AZ 85607 (Tel: 5203641429)

📍
Updated Business Mailing Address June 12, 2013

Registered at 1205 F. AVENUE, DOUGLAS, AZ 85607 (Tel: 5203641429)

👤
Provider Name / Credentials Updated June 12, 2013

Recorded as CARLOS PENA, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2013

Physician Assistant (License #4229 in AZ)

🟢
Initial NPI Registration & Enumeration September 03, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447408570
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 03, 2008
Last Update: April 07, 2021
Sole Proprietor: No

Mailing Address

1205 F. Avenue

Douglas, AZ 85607

Phone: 5203641429

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.