Amanda Rose Cheetham, PA-C is a medicare enrolled "Physician Assistant" physician in Mesa, Arizona. Her current practice location is
1500 S Dobson Rd Ste 202, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at
(866) 974-2673.
Amanda Rose Cheetham is licensed to practice in Arizona (license number 9549) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164016820.
Physician's Profile
Full Name | Amanda Rose Cheetham |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1500 S Dobson Rd Ste 202, Mesa, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164016820
- Provider Enumeration Date: 02/23/2021
- Last Update Date: 02/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 6507237062
- Enrollment ID: I20230119001373
Medical Identifiers
Medical identifiers for Amanda Rose Cheetham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164016820 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 9549 (Arizona) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
363A00000X | Physician Assistant | 9549 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Rose Cheetham is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amanda Rose Cheetham, PA-C 18444 N 25th Ave Ste 310, Phoenix, AZ 85023-1266 Ph: (866) 974-2673 | Amanda Rose Cheetham, PA-C 1500 S Dobson Rd Ste 202, Mesa, AZ 85202-4724 Ph: (866) 974-2673 |
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