James Frederick Pehoushek, MD MPH is a medicare enrolled "Dermatology" physician in Glendale, Arizona. He went to Uniformed Services Uhs Fe Hebert School Of Med and graduated in 1993 and has 31 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice All Dermatology, Inc. and his current practice location is
6320-a W Union Hills Dr., Ste 100, Glendale, Arizona. You can reach out to his office (for appointments etc.) via phone at
(623) 376-7600.
James Frederick Pehoushek is licensed to practice in Arizona (license number 23095) 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 1104810720.
Physician's Profile
| Full Name | James Frederick Pehoushek |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 31 Years |
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| Location | 6320-a W Union Hills Dr., Glendale, 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:
- James Frederick Pehoushek attended and graduated from Uniformed Services Uhs Fe Hebert School Of Med in 1993
NPI Data:
- NPI Number: 1104810720
- Provider Enumeration Date: 09/09/2005
- Last Update Date: 05/15/2013
Medicare PECOS Information:
- PECOS PAC ID: 4880686815
- Enrollment ID: I20040331000924
Medical Identifiers
Medical identifiers for James Frederick Pehoushek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104810720 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 23095 (Arizona) | Primary |
| 207ND0900X | Dermatology - Dermatopathology | 23095 (Arizona) | Secondary |
| 207NI0002X | Dermatology - Clinical & Laboratory Dermatological Immunology | 23095 (Arizona) | Secondary |
| 207NP0225X | Dermatology - Pediatric Dermatology | 23095 (Arizona) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 23095 (Arizona) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| All Dermatology, Inc. | 4284527748 | 5 |
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. James Frederick Pehoushek allows following entities to bill medicare on his behalf.
| Entity Name | All Dermatology, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023199544
PECOS PAC ID: 4284527748
Enrollment ID: O20040206000757 |
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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. James Frederick Pehoushek 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 |
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James Frederick Pehoushek, MD MPH
14239 W Bell Rd, Suite 101,
Surprise, AZ 85374-2469
Ph: (623) 544-7755 | James Frederick Pehoushek, MD MPH
6320-a W Union Hills Dr., Ste 100,
Glendale, AZ 85308-1051
Ph: (623) 376-7600 |
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