Amanda Rose Cheetham, PA-C - Medicare Physician Assistant in Mesa, AZ

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Amanda Rose Cheetham, PA-C is a medicare enrolled "Physician Assistant" physician in Mesa, Arizona. Her current practice location is 1500 S Dobson Rd Ste 202, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (866) 974-2673.

Amanda Rose Cheetham is licensed to practice in Arizona (license number 9549) 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 1164016820.

Contact Information

Amanda Rose Cheetham, PA-C
1500 S Dobson Rd Ste 202,
Mesa, AZ 85202-4724
(866) 974-2673
Not Available



Physician's Profile

Full NameAmanda Rose Cheetham
GenderFemale
SpecialityPhysician Assistant
Location1500 S Dobson Rd Ste 202, Mesa, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164016820
  • Provider Enumeration Date: 02/23/2021
  • Last Update Date: 02/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6507237062
  • Enrollment ID: I20230119001373

Medical Identifiers

Medical identifiers for Amanda Rose Cheetham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164016820NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 9549 (Arizona)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
363A00000XPhysician Assistant 9549 (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. Amanda Rose Cheetham 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 AddressPractice Location Address
Amanda Rose Cheetham, PA-C
18444 N 25th Ave Ste 310,
Phoenix, AZ 85023-1266

Ph: (866) 974-2673		Amanda Rose Cheetham, PA-C
1500 S Dobson Rd Ste 202,
Mesa, AZ 85202-4724

Ph: (866) 974-2673

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