Mr Craig Angelo Wiggins, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Phoenix, Arizona. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Omni Dermatology Incorporated and his current practice location is
9305 W Thomas Rd Ste 305, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at
(623) 478-8000.
Mr Craig Angelo Wiggins is licensed to practice in Arizona (license number AP4898) 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 1386088649.
Physician's Profile
| Full Name | Mr Craig Angelo Wiggins |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 12 Years |
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| Location | 9305 W Thomas Rd Ste 305, 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:
- Mr Craig Angelo Wiggins graduated from medical school in 2012
NPI Data:
- NPI Number: 1386088649
- Provider Enumeration Date: 04/17/2013
- Last Update Date: 12/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 7517100050
- Enrollment ID: I20140728001314
Medical Identifiers
Medical identifiers for Mr Craig Angelo Wiggins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1386088649 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | AP4898 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP4898 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Omni Dermatology Incorporated | 5698846558 | 12 |
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. Mr Craig Angelo Wiggins allows following entities to bill medicare on his behalf.
| Entity Name | Omni Dermatology Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003082090
PECOS PAC ID: 5698846558
Enrollment ID: O20080619000682 |
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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. Mr Craig Angelo Wiggins 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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Mr Craig Angelo Wiggins, FNP
4801 E Mcdowell Rd Ste 150,
Phoenix, AZ 85008-7725
Ph: (602) 954-3919 | Mr Craig Angelo Wiggins, FNP
9305 W Thomas Rd Ste 305,
Phoenix, AZ 85037-3366
Ph: (623) 478-8000 |
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