MEDICARE: SCOTT ARNOLD AJELLO PA-C

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	0010-00393	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750345161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT ARNOLD AJELLO PA-C

Provider Business Mailing Address
First Line	:	PO BOX 5105
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-5100
Country	:	US
Telephone Number	:	828-459-6824
Fax Number	:

Provider Business Practice Location Address
First Line	:	3900 TERRELL PARK DR
Second Line	:
City	:	SHERRILLS FORD
State	:	NC
Zip	:	28673-9509
Country	:	US
Telephone Number	:	828-782-3245
Fax Number	:	828-655-2344

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

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	03/11/2026

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