Jonathan J Wiggenhorn, DO is a medicare enrolled "Otolaryngology - Facial Plastic Surgery" physician in Goodyear, Arizona. He went to Western University Of Health Sciences College Of Dental Med and graduated in 1999 and has 25 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Bhsm Rehabilitation Llc, Estrella Ear Nose And Throat Pc and his current practice location is
2700 N 140th Avenue, Ste 107, Goodyear, Arizona. You can reach out to his office (for appointments etc.) via phone at
(623) 353-8770.
Jonathan J Wiggenhorn is licensed to practice in Arizona (license number 4738) 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 1417983230.
Physician's Profile
| Full Name | Jonathan J Wiggenhorn |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 25 Years |
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| Location | 2700 N 140th Avenue, Goodyear, 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:
- Jonathan J Wiggenhorn attended and graduated from Western University Of Health Sciences College Of Dental Med in 1999
NPI Data:
- NPI Number: 1417983230
- Provider Enumeration Date: 06/23/2006
- Last Update Date: 08/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 5496768798
- Enrollment ID: I20080103000250
Medical Identifiers
Medical identifiers for Jonathan J Wiggenhorn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417983230 | NPI | - | NPPES |
| 272504 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207YS0123X | Otolaryngology - Facial Plastic Surgery | 4738 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Bhsm Rehabilitation Llc | 2062773138 | 1355 |
| Estrella Ear Nose And Throat Pc | 4082741087 | 4 |
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. Jonathan J Wiggenhorn allows following entities to bill medicare on his behalf.
| Entity Name | Estrella Ear Nose And Throat Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952623100
PECOS PAC ID: 4082741087
Enrollment ID: O20100422001160 |
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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. Jonathan J Wiggenhorn 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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Jonathan J Wiggenhorn, DO
2700 N 140th Ave Ste 107,
Goodyear, AZ 85395-2439
Ph: (623) 537-7085 | Jonathan J Wiggenhorn, DO
2700 N 140th Avenue, Ste 107,
Goodyear, AZ 85395
Ph: (623) 353-8770 |
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