Jonathan Dale Peckham, PA-C in Surprise, AZ

Jonathan Dale Peckham, PA-C is a medicare enrolled "Physician Assistant - Medical" in Surprise, Arizona. His current practice location is 12361 W Bola Dr Ste 100, Surprise, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 641-9486.

Jonathan Dale Peckham is licensed to practice in Arizona (license number 5479) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992130884.

Contact Information

	Jonathan Dale Peckham, PA-C
	12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021
	(602) 641-9486
	(480) 500-8430

Map and Direction

Provider's Profile

Full Name	Jonathan Dale Peckham
Gender	Male
Speciality
Experience	Years
Location	12361 W Bola Dr Ste 100, Surprise, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jonathan Dale Peckham attended and graduated from in

NPI Data:

NPI Number: 1992130884
Provider Enumeration Date: 09/10/2013
Last Update Date: 08/27/2020

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Jonathan Dale Peckham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992130884	NPI	-	NPPES
862609	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	5479 (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. Jonathan Dale Peckham 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
Jonathan Dale Peckham, PA-C Po Box 41638, Phoenix, AZ 85080-1638 Ph: (602) 641-9486	Jonathan Dale Peckham, PA-C 12361 W Bola Dr Ste 100, Surprise, AZ 85378-9021 Ph: (602) 641-9486

Reviews and Comments

Physician Assistant Nurses in Surprise, AZ

Elizabeth Frances Williams, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14780 W. Mountain View Blvd., Suite 110, Surprise, AZ 85374 Phone: 623-374-7774 Fax: 623-796-5302
Melinda Gutierrez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15571 N Reems Rd, Surprise, AZ 85374 Phone: 623-544-6932 Fax: 623-321-1070
Jamie Brockman, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 14674 W Mountain View Blvd Ste 200, Surprise, AZ 85374 Phone: 623-544-6860 Fax: 623-544-6861
Lee Akerson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14780 W Mountain View Blvd, Suite 110, Surprise, AZ 85374 Phone: 623-374-7774
Ms. Lorie Weber, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 14780 W. Mountain View Blvd., Suite 110, Surprise, AZ 85374 Phone: 623-374-7774 Fax: 877-796-5302
Reyna Martin, Physician Assistant Medicare: Medicare Enrolled Practice Location: 16928 W Bell Rd Ste 701, Surprise, AZ 85374 Phone: 623-850-0026 Fax: 623-850-0027
Despina Lozevski, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 16815 W Bell Rd, Surprise, AZ 85374 Phone: 623-244-2400

Jonathan Dale Peckham, PA-C - Medicare in Surprise, AZ