Mr Michael Keene Demack, PA C S - Medicare Physician Assistant in Payson, AZ

Mr Michael Keene Demack, PA C S is a medicare enrolled "Physician Assistant - Medical" physician in Payson, Arizona. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Ponderosa Family Care Llc and his current practice location is 806 S Ponderosa St, Payson, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 468-8603.

Mr Michael Keene Demack is licensed to practice in Arizona (license number 6422) 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 1043347313.

Contact Information

Mr Michael Keene Demack, PA C S
806 S Ponderosa St,
Payson, AZ 85541-5541
(928) 468-8603
(928) 468-8625



Physician's Profile

Full NameMr Michael Keene Demack
GenderMale
SpecialityPhysician Assistant
Experience25 Years
Location806 S Ponderosa St, Payson, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Michael Keene Demack graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1043347313
  • Provider Enumeration Date: 02/27/2007
  • Last Update Date: 04/19/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 9739457631
  • Enrollment ID: I20170619000691

Medical Identifiers

Medical identifiers for Mr Michael Keene Demack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043347313NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine PA 14934 (California)Secondary
363AM0700XPhysician Assistant - Medical 6422 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner Payson Medical CenterPayson, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ponderosa Family Care Llc145654801510

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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. Mr Michael Keene Demack 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
Mr Michael Keene Demack, PA C S
Po Box 2901,
Payson, AZ 85547-2901

Ph: (928) 468-8603
Mr Michael Keene Demack, PA C S
806 S Ponderosa St,
Payson, AZ 85541-5541

Ph: (928) 468-8603

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