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MAVERICK CHARLES ZIETLOW PA-C
NPI 1912735879
Physician Assistant in Queen Creek, AZ

Active since July 23, 2024PECOS EnrolledAccepts Medicare Assignment
21772 S ELLSWORTH LOOP RD, QUEEN CREEK, AZ 85142(480) 512-3700 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maverick Charles Zietlow Pa-c NPPES

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

MAVERICK CHARLES ZIETLOW PA-C (NPI 1912735879) is an individual physician assistant in Queen Creek, Arizona and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1912735879
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMAVERICK CHARLES ZIETLOWCredential: PA-C
Location Address21772 S ELLSWORTH LOOP RDQueen Creek, AZ 85142-7709
Mailing Address21772 S Ellsworth Loop RdQueen Creek, AZ 85142-7709
Phone(480) 512-3700
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 23, 2024
NPPES CertifiedJuly 23, 2024
✔ NPI 1912735879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
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.
21772 S ELLSWORTH LOOP RD, Queen Creek, AZ 85142
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, 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

Maverick Charles Zietlow 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 ID2668911553
PECOS Enrollment IDI20240822004194
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85142 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ELIZABETH ANN GEORLETT PA-C
Physician Assistant
21772 S ELLSWORTH LOOP RD
QUEEN CREEK, AZ 85142
Maricopa County (480) 394-4480
JOSHUA EBERHARD D.O.
Pediatrics
21772 S ELLSWORTH LOOP RD
QUEEN CREEK, AZ 85142
Maricopa County (480) 512-3700
JANETTE NICOLE REEVES FNP
Nurse Practitioner (Family)
21772 S ELLSWORTH LOOP RD
QUEEN CREEK, AZ 85142
Maricopa County (480) 512-3700
CHRISTOPHER JAMES BIGGS DO
Internal Medicine
21772 S ELLSWORTH LOOP RD
QUEEN CREEK, AZ 85142
Maricopa County (480) 512-3700
HOLLY MARIA COONEY PA
Physician Assistant
21772 S ELLSWORTH LOOP RD
QUEEN CREEK, AZ 85142
Maricopa County (480) 512-3700
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
Clinic/Center (Primary Care)
21772 S ELLSWORTH LOOP RD
QUEEN CREEK, AZ 85142
Maricopa County (480) 512-3700
ROSE CECILIA COLUCCI PHARMD
Pharmacist (Ambulatory Care)
21772 S ELLSWORTH LOOP RD
QUEEN CREEK, AZ 85142
Maricopa County (480) 512-3700
VICTORIA CARLSON
Nurse Practitioner
21772 S ELLSWORTH LOOP RD
QUEEN CREEK, AZ 85142
Maricopa County (480) 512-3700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maverick Zietlow's NPI number?

The NPI number for Maverick Zietlow is 1912735879. It was assigned to this individual provider in the NPPES registry on July 23, 2024.

Where is Maverick Zietlow located?

Maverick Zietlow practices at 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142. The listed phone number is (480) 512-3700.

What is Maverick Zietlow's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Maverick Zietlow enrolled in Medicare?

Yes. Maverick Zietlow is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Maverick Zietlow accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Maverick Zietlow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maverick Zietlow was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.