Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Fallon Rayne Damico, PA-C

Individual provider Medical Physician Assistant · NPI 1942679741

Fallon Rayne Damico, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2015, 11 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
11
Licensed in
AZ
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9305 W Thomas Rd Ste 285
Phoenix, AZ 85037-3365
Phone: (602) 677-3801
Fax: (877) 569-2006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16838 E Palisades Blvd, Fountain Hills, AZ 85268-3786 — (480) 816-3131

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 6188 (AZ)

Record details

NPI number1942679741
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 22, 2015
Last updated in NPPESDecember 20, 2023
Certification dateDecember 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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