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.
Physician's Profile
| Full Name | Mr Michael Keene Demack |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 25 Years |
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| Location | 806 S Ponderosa St, Payson, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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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.
| Identifier | Type | State | Issuer |
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| 1043347313 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | PA 14934 (California) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 6422 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ponderosa Family Care Llc | 1456548015 | 10 |
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 Address | Practice Location Address |
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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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