Michael J Sassmann, PA-C
Individual provider Active NPI Medical Physician Assistant · Show Low, AZ
NPI 1295049914 · NPPES record last updated Jun 18, 2024
Key facts
- NPI
- 1295049914
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 5428 (AZ)
- Practice address
- 5300 S Sutter Dr Ste 12
Show Low, AZ 85901-8055 - Phone
- (928) 251-2541
- Fax
- (833) 450-5183
- NPI assigned
- Aug 5, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Compass Medical Center Snowflake PLLC
Practice addresses (Care Compare)
1300 S Main St
Snowflake, AZ 85937-5661
Phone (928) 536-5525
Hospital & facility affiliations
- Summit Healthcare Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131011000001 | AZ | Practitioner - Physician Assistant | 4385660992 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5428 | AZ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Urgent Care Services, LLC | Current |
Accepting new patients |
Locations
11685 W Van Buren St
Avondale, AZ 85323
Phone (623) 465-6420
35945 N Gary Rd
San Tan Valley, AZ 85143
Phone (480) 827-5750
10330 N Scottsdale Rd
Ste 25
Scottsdale, AZ 85253
Phone (602) 255-7625
3611 N Campbell Ave
Tucson, AZ 85719
Phone (520) 694-4650
7089 N Thornydale Rd
Ste 101
Tucson, AZ 85741
Phone (520) 694-6600
5545 E Broadway Blvd
Tucson, AZ 85711
7066 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 514-0344
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5428 | AZ | Yes |
| Medical Physician Assistant | 363AM0700X | PA21074 | CA |
Addresses
Primary practice location
5300 S Sutter Dr Ste 12
Show Low, AZ 85901-8055
Mailing address
5300 S Sutter Dr Ste 12
Show Low, AZ 85901-8055
Phone (928) 251-2541
Other providers in Show Low, AZ
- Kristine Rumzis
- Safeway Inc
- Jaun Sanchez
- Jose Santiago-Cardona
- Ashley Brooke Sarchet
- Elaine Denise Sawyers
- Cornelius Jim Scanlon
- Stephanie Schurkens
- Robert D Seaton
- Tara Semingson Green
All providers in Show Low, AZ · Medical Physician Assistant in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.