| Jason Duane Melton, PA-C | |
|
87 S Hwy 89, Chino Valley, AZ 86323-5687 | |
| (928) 208-4309 | |
| (928) 227-1229 |
| Full Name | Jason Duane Melton |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 87 S Hwy 89, Chino Valley, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891352407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 8052 (Arizona) | Primary |
| Entity Name | Medical Services of Prescott, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508816257 PECOS PAC ID: 5698662724 Enrollment ID: O20040302001390 |
| Entity Name | Exceptional Physician Group Arizona, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447910229 PECOS PAC ID: 0042605008 Enrollment ID: O20220310000502 |
| Entity Name | Exceptional Physicians Group Yuma Hospital PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235857699 PECOS PAC ID: 3173983186 Enrollment ID: O20230721000455 |
| Entity Name | Exceptional Physicians Group Bullhead City Hospital PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518732023 PECOS PAC ID: 9335599604 Enrollment ID: O20231228002414 |
| Entity Name | Exceptional Physicians Group Prescott Hospital PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720807670 PECOS PAC ID: 0446775373 Enrollment ID: O20250423001192 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Duane Melton, PA-C Po Box 1341, Chino Valley, AZ 86323-1341 Ph: (928) 963-1298 | Jason Duane Melton, PA-C 87 S Hwy 89, Chino Valley, AZ 86323-5687 Ph: (928) 208-4309 |
Phung Le, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1934 N Highway 89, Chino Valley, AZ 86323 Phone: 928-667-1968 |
Nancy Olney, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1934 Az-89, Chino Valley, AZ 86323 Phone: 928-667-1968 |
Marcos Josue Pena, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2940 W Movi Trl, Chino Valley, AZ 86323 Phone: 805-793-9548 |
Mariah Hoyt, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 87 S State Route 89, Chino Valley, AZ 86323 Phone: 928-404-1488 Fax: 866-232-8580 |
Kerry D Malin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1780 N State Route 89, Chino Valley, AZ 86323 Phone: 928-460-5214 |
Ms. Jenny L Miller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1780 N State Route 89, Chino Valley, AZ 86323 Phone: 928-460-5214 Fax: 928-441-2915 |
Ellina Rose Bastian, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1558 E Yorkshire Ave, Chino Valley, AZ 86323 Phone: 815-980-9155 |