Lynnette J Mattingly, PA-C in Cave Creek, AZ - Medicare Physician Assistant

Lynnette J Mattingly, PA-C is a medicare enrolled "Physician Assistant" in Cave Creek, Arizona. Her current practice location is 5128 E Villa Cassandra Way, Cave Creek, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 688-6364.

Lynnette J Mattingly is licensed to practice in Arizona (license number 1294) 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 1255453346.

Contact Information

	Lynnette J Mattingly, PA-C
	5128 E Villa Cassandra Way, Cave Creek, AZ 85331-9012
	(480) 688-6364
	Not Available

Provider's Profile

Full Name	Lynnette J Mattingly
Gender	Female
Speciality	Physician Assistant
Location	5128 E Villa Cassandra Way, Cave Creek, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255453346
Provider Enumeration Date: 04/06/2007
Last Update Date: 09/10/2009

Medicare PECOS Information:

PECOS PAC ID: 7113211723
Enrollment ID: I20160804001071

Medical Identifiers

Medical identifiers for Lynnette J Mattingly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255453346	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	1294 (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. Lynnette J Mattingly 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
Lynnette J Mattingly, PA-C Po Box 7874, Cave Creek, AZ 85327-7874 Ph: (480) 488-1721	Lynnette J Mattingly, PA-C 5128 E Villa Cassandra Way, Cave Creek, AZ 85331-9012 Ph: (480) 688-6364

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Lynnette J Mattingly, PA-C - Medicare Physician Assistant in Cave Creek, AZ