MEDICARE: JOSIE WAKSER PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	11067	AZ

General Provider Information

NPI Number	:	1114817814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSIE WAKSER PA-C

Provider Business Mailing Address
First Line	:	4905 E TIERRA BUENA LN
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-1640
Country	:	US
Telephone Number	:	602-541-7719
Fax Number	:

Provider Business Practice Location Address
First Line	:	4200 E CAMELBACK RD STE 106
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-2718
Country	:	US
Telephone Number	:	602-255-7590
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2025
Last Update Date	:	01/23/2026

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