Matthew G Datlow, MSPAS, PA-C is a medicare enrolled "Physician Assistant" in Oracle, Arizona. He graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Sun Life Family Health Center Inc and his current practice location is
1040 W American Ave, Oracle, Arizona. You can reach out to his office (for appointments etc.) via phone at
(520) 896-2092.
Matthew G Datlow is licensed to practice in * (Not Available) (license number ) 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 1477024503.
Provider's Profile
| Full Name | Matthew G Datlow |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 1040 W American Ave, Oracle, 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:
- Matthew G Datlow graduated from nursing school in 2018
NPI Data:
- NPI Number: 1477024503
- Provider Enumeration Date: 12/16/2018
- Last Update Date: 06/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 3779822705
- Enrollment ID: I20190308000714
Medical Identifiers
Medical identifiers for Matthew G Datlow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477024503 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sun Life Family Health Center Inc | 9335032275 | 49 |
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. Matthew G Datlow 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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Matthew G Datlow, MSPAS, PA-C
Po Box 10097,
Casa Grande, AZ 85130-0020
Ph: (520) 836-3446 | Matthew G Datlow, MSPAS, PA-C
1040 W American Ave,
Oracle, AZ 85623-6089
Ph: (520) 896-2092 |
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