Dr Dwayne Michael St Jacques, MD - Pediatrics in Phoenix, AZ

Dr Dwayne Michael St Jacques, MD is a Pediatrics physician based in Phoenix, Arizona. Dr Dwayne Michael St Jacques is licensed to practice in Arizona (license number AZ24143) and his current practice location is 15215 S 48th St, Suite 110, Phoenix, Arizona. He can be reached at his office (for appointments etc.) via phone at (480) 783-8964.

NPI number for Dr Dwayne Michael St Jacques is 1508830803 and his current mailing address is 15215 S 48th St, Suite 110, Phoenix, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508830803.

Contact Information

Dr Dwayne Michael St Jacques, MD
15215 S 48th St, Suite 110,
Phoenix, AZ 85044-9142
(480) 783-8964
(480) 783-8967

Map and Direction




Physician's Profile

Full NameDr Dwayne Michael St Jacques
GenderMale
SpecialityPediatrics
Location15215 S 48th St, Phoenix, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508830803
  • Provider Enumeration Date: 02/14/2006
  • Last Update Date: 01/22/2019

Medical Identifiers

Medical identifiers for Dr Dwayne Michael St Jacques such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508830803NPI-NPPES
424052MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080A0000XPediatrics - Adolescent Medicine 24143 (Arizona)Secondary
208000000XPediatrics AZ24143 (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. Dr Dwayne Michael St Jacques is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Dwayne Michael St Jacques, MD
15215 S 48th St, Suite 110,
Phoenix, AZ 85044-9142

Ph: (480) 783-8964
Dr Dwayne Michael St Jacques, MD
15215 S 48th St, Suite 110,
Phoenix, AZ 85044-9142

Ph: (480) 783-8964

Reviews and Comments


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