Nicole M Atallah, PA is a medicare enrolled "Physician Assistant" physician in Scottsdale, Arizona. Her current practice location is
9550 E Thunderbird Rd Unit 266, Scottsdale, Arizona. You can reach out to her office (for appointments etc.) via phone at
(612) 239-5228.
Nicole M Atallah is licensed to practice in Arizona (license number 4555) 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 1366626954.
Physician's Profile
Full Name | Nicole M Atallah |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 9550 E Thunderbird Rd Unit 266, Scottsdale, 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: 1366626954
- Provider Enumeration Date: 12/19/2007
- Last Update Date: 06/04/2010
Medicare PECOS Information:
- PECOS PAC ID: 8224112230
- Enrollment ID: I20100604000193
Medical Identifiers
Medical identifiers for Nicole M Atallah such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366626954 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207T00000X | Neurological Surgery | PA030517 (District Of Columbia) | Secondary |
363A00000X | Physician Assistant | 4555 (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. Nicole M Atallah 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 |
Nicole M Atallah, PA 9550 E Thunderbird Rd Unit 266, Scottsdale, AZ 85260-3775 Ph: (612) 239-5228 | Nicole M Atallah, PA 9550 E Thunderbird Rd Unit 266, Scottsdale, AZ 85260-3775 Ph: (612) 239-5228 |
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