Dr Daniel Abram Driscoll, MD/PHD is a medicare enrolled "Pediatrics" physician in Bisbee, Arizona. His current practice location is
108 Arizona St, Bisbee, Arizona. You can reach out to his office (for appointments etc.) via phone at
(520) 432-3309.
Dr Daniel Abram Driscoll is licensed to practice in Colorado (license number 34024) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689744591.
Physician's Profile
| Full Name | Dr Daniel Abram Driscoll |
|---|
| Gender | Male |
|---|
| Speciality | Pediatrics |
|---|
| Location | 108 Arizona St, Bisbee, Arizona |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1689744591
- Provider Enumeration Date: 11/08/2006
- Last Update Date: 07/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 2365480019
- Enrollment ID: I20180730000258
Medical Identifiers
Medical identifiers for Dr Daniel Abram Driscoll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689744591 | NPI | - | NPPES |
| 01340249 | Medicaid | CO | |
| 396675 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 34024 (Colorado) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Daniel Abram Driscoll allows following entities to bill medicare on his behalf.
| Entity Name | Chiricahua Community Health Centers Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1942241443
PECOS PAC ID: 5395638878
Enrollment ID: O20040206000860 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Daniel Abram Driscoll is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Daniel Abram Driscoll, MD/PHD
1205 N F Ave,
Douglas, AZ 85607-1920
Ph: (520) 364-1429 | Dr Daniel Abram Driscoll, MD/PHD
108 Arizona St,
Bisbee, AZ 85603-1804
Ph: (520) 432-3309 |
Reviews and Comments