Nicole M Atallah, PA - Medicare Physician Assistant in Scottsdale, AZ

Nicole M Atallah, PA is a medicare enrolled "Physician Assistant" physician in Scottsdale, Arizona. Her current practice location is 9550 E Thunderbird Rd Unit 266, Scottsdale, Arizona. You can reach out to her office (for appointments etc.) via phone at (612) 239-5228.

Nicole M Atallah is licensed to practice in Arizona (license number 4555) 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 1366626954.

Contact Information

Nicole M Atallah, PA
9550 E Thunderbird Rd Unit 266,
Scottsdale, AZ 85260-3775
(612) 239-5228
Not Available



Physician's Profile

Full NameNicole M Atallah
GenderFemale
SpecialityPhysician Assistant
Location9550 E Thunderbird Rd Unit 266, Scottsdale, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366626954
  • Provider Enumeration Date: 12/19/2007
  • Last Update Date: 06/04/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 8224112230
  • Enrollment ID: I20100604000193

Medical Identifiers

Medical identifiers for Nicole M Atallah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366626954NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological Surgery PA030517 (District Of Columbia)Secondary
363A00000XPhysician Assistant 4555 (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. Nicole M Atallah 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
Nicole M Atallah, PA
9550 E Thunderbird Rd Unit 266,
Scottsdale, AZ 85260-3775

Ph: (612) 239-5228
Nicole M Atallah, PA
9550 E Thunderbird Rd Unit 266,
Scottsdale, AZ 85260-3775

Ph: (612) 239-5228

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