Mark Amba Standley, PA-C - Medicare Physician Assistant in Roswell, NM

Mark Amba Standley, PA-C is a medicare enrolled "Physician Assistant" in Roswell, New Mexico. His current practice location is 111 W Hobbs St, Roswell, New Mexico. You can reach out to his office (for appointments etc.) via phone at (575) 623-3311.

Mark Amba Standley is licensed to practice in New Mexico (license number PA2018-0080) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114445590.

Contact Information

Mark Amba Standley, PA-C
111 W Hobbs St,
Roswell, NM 88203-1869
(575) 623-3311
Not Available



Provider's Profile

Full NameMark Amba Standley
GenderMale
SpecialityPhysician Assistant
Location111 W Hobbs St, Roswell, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114445590
  • Provider Enumeration Date: 09/06/2017
  • Last Update Date: 03/25/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8921341272
  • Enrollment ID: I20190530000476

Medical Identifiers

Medical identifiers for Mark Amba Standley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114445590NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA2018-0080 (New Mexico)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. Mark Amba Standley 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
Mark Amba Standley, PA-C
8101 Lamount Dr,
Amarillo, TX 79110-4615

Ph: (806) 676-1523
Mark Amba Standley, PA-C
111 W Hobbs St,
Roswell, NM 88203-1869

Ph: (575) 623-3311

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Physician Assistant Nurses in Roswell, NM

Mr. Sidney Clyde England, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 402 W Country Club Rd, Roswell, NM 88201
Phone: 575-627-9500    Fax: 575-627-9535
Mrs. Shannon Ballard Callaway, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 601 W Country Club Rd Ste 201, Roswell, NM 88201
Phone: 575-627-0535    Fax: 575-627-5590
Tina J Southward, PAC
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 75 Univeristy Blvd, Ste 130, Roswell, NM 88203
Phone: 575-624-7207    
Norman Bowers,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 303 W Country Club Rd, Roswell, NM 88201
Phone: 505-994-9435    
Rebekah D Carlozzi, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 402 W. Country Club Rd, Roswell, NM 88201
Phone: 575-627-9500    Fax: 575-627-4127
John C Thomas, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 115 E 19th St, Roswell, NM 88201
Phone: 575-622-7600    Fax: 575-622-3856

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