TEGAN HALBERG GAMBLIN PA-C
NPI 1275933848
Physician Assistant - Surgical in Chandler, AZ

Q: What is Tegan Halberg Gamblin's NPI number?

The NPI number for Tegan Halberg Gamblin is 1275933848. It was assigned to this individual provider in the NPPES registry on September 2, 2014.

Q: What is Tegan Halberg Gamblin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since September 02, 2014PECOS EnrolledAccepts Medicare Assignment

485 S DOBSON RD STE 201, CHANDLER, AZ 85224(480) 728-4700(480) 728-4747 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 12, 2024, Aug 12, 2021, May 14, 2021 (3 updates tracked since 2021).

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About Tegan Halberg Gamblin Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEGAN HALBERG GAMBLIN PA-C (NPI 1275933848) is an individual surgical provider in Chandler, Arizona, licensed in Arizona (6291) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1275933848

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameTEGAN HALBERG GAMBLINCredential: PA-C

Location Address485 S DOBSON RD STE 201Chandler, AZ 85224-5604

Mailing AddressPo Box 33269Phoenix, AZ 85067-3269 · (602) 406-4786 · Fax (916) 636-4358

Phone(480) 728-4700

Fax(480) 728-4747

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 2, 2014

Last NPPES UpdateNovember 12, 20243 updates tracked since enumeration

NPPES CertifiedNovember 12, 2024

✔ NPI 1275933848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in AZ · 6291

Also ListedPhysician AssistantTaxonomy 363A00000X · License C05493 (MD)

485 S DOBSON RD STE 201, Chandler, AZ 85224

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tegan Halberg Gamblin Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062734296

PECOS Enrollment IDI20160216001116

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA PHILLIPS MSN, ACNP-BC, CCRN

Nurse Practitioner (Acute Care)