Dr David A Etzioni, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Phoenix, Arizona. He went to Perelman School Of Med At The University Of Pennsylvania and graduated in 1999 and has 25 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice Mayo Clinic - Arizona and his current practice location is
5779 E Mayo Blvd, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at
(480) 301-8000.
Dr David A Etzioni is licensed to practice in Arizona (license number 42832) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144373176.
Physician's Profile
| Full Name | Dr David A Etzioni |
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| Gender | Male |
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| Speciality | Colorectal Surgery (proctology) |
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| Experience | 25 Years |
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| Location | 5779 E Mayo Blvd, Phoenix, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr David A Etzioni attended and graduated from Perelman School Of Med At The University Of Pennsylvania in 1999
NPI Data:
- NPI Number: 1144373176
- Provider Enumeration Date: 01/21/2007
- Last Update Date: 09/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 1557442092
- Enrollment ID: I20100310000942
Medical Identifiers
Medical identifiers for Dr David A Etzioni such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144373176 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | A74878 (Minnesota) | Secondary |
| 208C00000X | Colon & Rectal Surgery | A74878 (California) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 42832 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mayo Clinic - Arizona | 7012829930 | 1400 |
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 David A Etzioni allows following entities to bill medicare on his behalf.
| Entity Name | Mayo Clinic Arizona |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558332494
PECOS PAC ID: 7012829930
Enrollment ID: O20031105000782 |
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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 David A Etzioni 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 David A Etzioni, MD
5779 E Mayo Blvd,
Phoenix, AZ 85054-4502
Ph: (480) 301-8000 | Dr David A Etzioni, MD
5779 E Mayo Blvd,
Phoenix, AZ 85054-4502
Ph: (480) 301-8000 |
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