MEDICARE: MR. JASON W ARNETT P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	2475	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00662145	OTHER	AZ	MEDICARE RAILROAD/ DERMATOLOGY VEIN AND LASER
2	P00633844	OTHER	AZ	RAILROAD MEDICARE WEST DERM OF AZ
3	P00809245	OTHER	AZ	RR MEDICARE FOR GROUP PTAN#DP3049

General Provider Information

NPI Number	:	1336132034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JASON W ARNETT P.A.

Provider Business Mailing Address
First Line	:	30010N 59TH ST
Second Line	:
City	:	CAVE CREEK
State	:	AZ
Zip	:	85331-3022
Country	:	US
Telephone Number	:	480-828-4250
Fax Number	:

Provider Business Practice Location Address
First Line	:	20950 N TATUM BLVD
Second Line	:	SUITE 350
City	:	PHOENIX
State	:	AZ
Zip	:	85050-4200
Country	:	US
Telephone Number	:	480-502-6651
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2005
Last Update Date	:	12/10/2015

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Directions to “ MR. JASON W ARNETT P.A.” Practice Location

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