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Active NPI 1073225728 Individual Practitioner Female Practitioner

Deyatres Dewalt , PA

Physician Assistant • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Deyatres Dewalt, PA is a registered healthcare professional specializing in Physician Assistant in Mesa, AZ. Practice services are available at 1400 S DOBSON RD under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1400 S Dobson Rd

Mesa, AZ 852024707

Telephone 4802567108
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.6 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
474 Specialists

Practicing in Mesa, AZ (3711 Statewide)

Telehealth Adoption Rate
8.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
90.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
19 18 $972.21 $98.30
99285 Emergency department visit for life threatening or functioning severity
15 15 $1519.20 $142.21

Medical Specialties & State Licenses

CMS Verified: 2024-01-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 10181

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003219916

Doctor of Pharmacy (Pharm.D.)

Dr. Emmanuel Bayongan , MD

Internal Medicine - Critical Care Medicine

NPI 1003808668

Doctor of Medicine (M.D.)

Dr. Heather Leinbach , PharmD

Pharmacist - Pharmacotherapy

NPI 1013138775

Doctor of Pharmacy (Pharm.D.)

Drake Herring , RRA

Radiology Practitioner Assistant

NPI 1013712173
Savannah Babcock

Registered Nurse

NPI 1013865989
Dr. Holly Mcdaniel , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1013937689

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2024

Physician Assistant (License #10181 in AZ)

📍
Updated Practice Location September 05, 2023

Registered at 1400 S DOBSON RD, MESA, AZ 852024707 (Tel: 4802567108)

📍
Updated Business Mailing Address September 05, 2023

Registered at 1400 S DOBSON RD, MESA, AZ 852024707 (Tel: 6029007711)

👤
Provider Name / Credentials Updated September 05, 2023

Recorded as DEYATRES DEWALT, PA

NPI Profile Active December 20, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location December 20, 2022

Registered at 435 N 5TH ST, PHOENIX, AZ 850042157 (Tel: 6029007711)

📍
Updated Business Mailing Address December 20, 2022

Registered at 435 N 5TH ST, PHOENIX, AZ 850042157 (Tel: 6029007711)

👤
Provider Name / Credentials Updated December 20, 2022

Recorded as DEYATRES DEWALT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2022

Physician Assistant

🟢
Initial NPI Registration & Enumeration December 14, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073225728
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2022
Last Update: January 18, 2024
Sole Proprietor: Yes

Mailing Address

1400 S Dobson Rd

Mesa, AZ 852024707

Phone: 6029007711

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.