Matthew G Datlow, MSPAS, PA-C is a medicare enrolled "Physician Assistant" in Oracle, Arizona. His current practice location is
1040 W American Ave, Oracle, Arizona. You can reach out to his office (for appointments etc.) via phone at
(520) 896-2092.
Matthew G Datlow is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477024503.
Provider's Profile
Full Name | Matthew G Datlow |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 1040 W American Ave, Oracle, 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: 1477024503
- Provider Enumeration Date: 12/16/2018
- Last Update Date: 06/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 3779822705
- Enrollment ID: I20190308000714
Medical Identifiers
Medical identifiers for Matthew G Datlow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477024503 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | 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. Matthew G Datlow 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 |
Matthew G Datlow, MSPAS, PA-C Po Box 10097, Casa Grande, AZ 85130-0020 Ph: (520) 836-3446 | Matthew G Datlow, MSPAS, PA-C 1040 W American Ave, Oracle, AZ 85623-6089 Ph: (520) 896-2092 |
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