Michael Joseph Puchowicz, MD is a medicare enrolled "Pediatrics - Sports Medicine" physician in Lakeside, Arizona. His current practice location is
4830 Highway 260, Suite 102, Lakeside, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 537-1040.
Michael Joseph Puchowicz is licensed to practice in Arizona (license number 44940) 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 1134452303.
Physician's Profile
Full Name | Michael Joseph Puchowicz |
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Gender | Male |
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Speciality | Pediatrics - Sports Medicine |
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Location | 4830 Highway 260, Lakeside, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134452303
- Provider Enumeration Date: 09/04/2009
- Last Update Date: 04/06/2012
Medicare PECOS Information:
- PECOS PAC ID: 2264690171
- Enrollment ID: I20120223000638
Medical Identifiers
Medical identifiers for Michael Joseph Puchowicz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134452303 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080S0010X | Pediatrics - Sports Medicine | 44940 (Arizona) | Primary |
208000000X | Pediatrics | 44940 (Arizona) | Secondary |
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. Michael Joseph Puchowicz allows following entities to bill medicare on his behalf.
Entity Name | Phoenix Children's Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704 |
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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. Michael Joseph Puchowicz 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 |
Michael Joseph Puchowicz, MD 4830 Highway 260, Suite 102, Lakeside, AZ 85929-5845 Ph: (928) 537-1040 | Michael Joseph Puchowicz, MD 4830 Highway 260, Suite 102, Lakeside, AZ 85929-5845 Ph: (928) 537-1040 |
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