| Ms Nicolette Mcdermott-ketchum, PAC | |
|
Hwy 160 & Mp 394.3, Kayenta, AZ 86033 | |
| (928) 697-4000 | |
| Not Available |
| Full Name | Ms Nicolette Mcdermott-ketchum |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | Hwy 160 & Mp 394.3, Kayenta, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417947813 | NPI | - | NPPES |
| 61276031 | Medicaid | CO | |
| 803727 | Medicaid | AZ | |
| 40907503 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA20030034 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Nicolette Mcdermott-ketchum, PAC Po Box 368, Kayenta, AZ 86033-0368 Ph: () - | Ms Nicolette Mcdermott-ketchum, PAC Hwy 160 & Mp 394.3, Kayenta, AZ 86033 Ph: (928) 697-4000 |
Mrs. Shalene Cynetta Yazzie, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 394.3 Us-160, Kayenta, AZ 86033 Phone: 928-697-4000 | |
Jacqueline J. Hinde, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: E. On Hwy. 160 To Route 59, Behind Kayenta Chapter House, Kayenta, AZ 86033 Phone: 928-697-8154 Fax: 928-697-8559 | |
Arnold Ketchum, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Hwy 160 & Mp 394.3, Kayenta, AZ 86033 Phone: 928-697-4000 Fax: 928-697-4145 |