MR. MICHAEL KEENE DEMACK PA C S - NPI 1043347313 - Physician Assistant in Payson, AZ

Q: What is Michael Demack's NPI number?

The NPI number for Michael Demack is 1043347313. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Q: What is Michael Demack's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Michael Demack was last updated on April 19, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mr. Michael Keene Demack Pa C S NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL KEENE DEMACK PA C S (NPI 1043347313) is an individual medical provider in Payson, Arizona, licensed in Arizona (6422) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043347313

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. MICHAEL KEENE DEMACKCredential: PA C S

Location Address806 S PONDEROSA STPayson, AZ 85541-5541

Mailing AddressPo Box 2901Payson, AZ 85547-2901 · (928) 468-8603

Phone(928) 468-8603

Fax(928) 468-8625

Sole ProprietorNo

Enumeration DateFebruary 27, 2007

Last NPPES UpdateApril 19, 2017

✔ NPI 1043347313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in AZ · 6422

Also ListedFamily MedicineTaxonomy 207Q00000X · License PA 14934 (CA)

806 S PONDEROSA ST, Payson, AZ 85541

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Michael Keene Demack Pa C S is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

2 suppliers14 claims65 services$6.20 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

3 suppliers12 claims12 services$21.08 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers16 claims86 services$3.23 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers19 claims19 services$46.47 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

7 suppliers30 claims31 services$95.76 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUDITH A HUNT M.D.

Pediatrics