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John Andrew Payton

General Practice

Allopathic & Osteopathic Physicians

34800 Bob Wilson Dr, Nmcsd, Attn: Medical Staff Services, San Diego, CA 92134-1098

PECOS Enrollment

This provider is enrolled in PECOS as JOHN PAYTON.

Based on the most recent information from CMS, provider John Andrew Payton is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1144292517
Provider Type
Individual
Full Name
Payton, John Andrew
Title
Dr.

Credential
D.O.
Gender
Male
Enumeration Date
2/1/2006
Last Updated
7/8/2007

Contact Information

Practice Location

34800 Bob Wilson Dr, Nmcsd, Attn: Medical Staff Services, San Diego, CA 92134-1098

(619) 532-6460

(619) 532-6299

Mailing Location

34800 Bob Wilson Dr, Nmcsd, Attn: Medical Staff Services, San Diego, CA 92134-1098

(619) 532-6460

(619) 532-6299

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License 02002554A Indiana

John Andrew Payton

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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