Lynnette J Mattingly, PA-C is a medicare enrolled "Physician Assistant" in Cave Creek, Arizona. Her current practice location is
5128 E Villa Cassandra Way, Cave Creek, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 688-6364.
Lynnette J Mattingly is licensed to practice in Arizona (license number 1294) 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 1255453346.
Provider's Profile
Full Name | Lynnette J Mattingly |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 5128 E Villa Cassandra Way, Cave Creek, 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: 1255453346
- Provider Enumeration Date: 04/06/2007
- Last Update Date: 09/10/2009
Medicare PECOS Information:
- PECOS PAC ID: 7113211723
- Enrollment ID: I20160804001071
Medical Identifiers
Medical identifiers for Lynnette J Mattingly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255453346 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 1294 (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. Lynnette J Mattingly 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 |
Lynnette J Mattingly, PA-C Po Box 7874, Cave Creek, AZ 85327-7874 Ph: (480) 488-1721 | Lynnette J Mattingly, PA-C 5128 E Villa Cassandra Way, Cave Creek, AZ 85331-9012 Ph: (480) 688-6364 |
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