Jaquelin Amaya, is a
Student In An Organized Health Care Education/training Program based in Mesa, Arizona. Jaquelin Amaya is licensed to practice in Arizona (license number ) and her current practice location is
708 S Pasadena, Mesa, Arizona. She can be reached at her office (for appointments etc.) via phone at
(602) 545-5945.
NPI number for Jaquelin Amaya is 1972455772 and her current mailing address is 708 S Pasadena, Mesa, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972455772.
Provider's Profile
| Full Name | Jaquelin Amaya |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 708 S Pasadena, Mesa, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1972455772
- Provider Enumeration Date: 02/12/2026
- Last Update Date: 02/12/2026
Medical Identifiers
Medical identifiers for Jaquelin Amaya such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972455772 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (Arizona) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (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. Jaquelin Amaya is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jaquelin Amaya,
708 S Pasadena,
Mesa, AZ 85210-2536
Ph: () - | Jaquelin Amaya,
708 S Pasadena,
Mesa, AZ 85210-2536
Ph: (602) 545-5945 |
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