MEDICARE: ELAINE LYNETTE GADE 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	363AM0700X	Medical Physician Assistant	8254	AZ

General Provider Information

NPI Number	:	1912466558
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELAINE LYNETTE GADE PA-C

Provider Business Mailing Address
First Line	:	2345 E SOUTHERN AVE STE 101
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85204-5419
Country	:	US
Telephone Number	:	480-893-2345
Fax Number	:

Provider Business Practice Location Address
First Line	:	2345 E SOUTHERN AVE
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85204-5419
Country	:	US
Telephone Number	:	808-932-3454
Fax Number	:	480-926-0495

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

Provider Enumeration Date	:	03/13/2019
Last Update Date	:	08/02/2023

Similar Medicare Providers

1649225178 — FAMILY FIRST PHYSICIANS PLLC
Practice Location Address:

2345 E SOUTHERN AVE , #101
MESA, AZ
85204-5419

Practice Phone: 480-893-2345
Practice Fax: 480-926-0495

1255682290 — JAY REYNOLD GUNNELL PA-C
Practice Location Address:

2345 E SOUTHERN AVE , 101
MESA, AZ
85204-5419

Practice Phone: 480-893-2345
Practice Fax: 480-892-2264

1821522608 — BRITTON GOODMAN D.O.
Practice Location Address:

2345 E SOUTHERN AVE STE 101
MESA, AZ
85204-5419

Practice Phone: 804-893-2345
Practice Fax: 480-926-0495

1477038610 — CHRISTOPHER JULIUS COSTELLO PA-C
Practice Location Address:

2345 E SOUTHERN AVE
MESA, AZ
85204-5419

Practice Phone: 480-893-2345
Practice Fax: 480-926-0495

1801750013 — PREMISE HEALTH OF ARIZONA MEDICAL PC
Practice Location Address:

1355 W UNIVERSITY DR
MESA, AZ
85201-5419

Practice Phone: 480-400-9237
Practice Fax: 480-546-5295

1609721018 — ALPINE WOODS ASSISTED HOME LIVING
Practice Location Address:

2020 E INVERNESS AVE , APT 2008
MESA, AZ
85204

Practice Phone: 480-744-2513
Practice Fax: 480-781-4918

Directions to “ ELAINE LYNETTE GADE PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.