| Matthew G Datlow, MSPAS, PA-C | |
|
1040 W American Ave, Oracle, AZ 85623-6089 | |
| (520) 896-2092 | |
| Not Available |
| Full Name | Matthew G Datlow |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 1040 W American Ave, Oracle, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477024503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bayada Home Health Care, Inc | Tucson, AZ | Home health agency |
| Oro Valley Hospital | Oro valley, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sun Life Family Health Center Inc | 9335032275 | 46 |
| Entity Name | Sun Life Family Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891913166 PECOS PAC ID: 9335032275 Enrollment ID: O20040205000085 |
| Entity Name | Arizona Pain Care Center PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396246013 PECOS PAC ID: 5496018921 Enrollment ID: O20180417000151 |
| Entity Name | West Coast Wound and Skin Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437675980 PECOS PAC ID: 7315212834 Enrollment ID: O20200803000710 |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |
Daniel E Valdez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1040 W American Ave, Oracle, AZ 85623 Phone: 520-896-2092 |