Mr Patrick Wellington Connelly, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Show Low, Arizona. He went to University Of Washington School Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Obstetrics/gynecology. His current practice location is
5300 S Sutter Dr, Suite 11, Show Low, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 537-9844.
Mr Patrick Wellington Connelly is licensed to practice in Arizona (license number 34632) 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 1619965548.
Physician's Profile
Full Name | Mr Patrick Wellington Connelly |
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Gender | Male |
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Speciality | Obstetrics/gynecology |
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Experience | 41 Years |
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Location | 5300 S Sutter Dr, Show Low, 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. |
Medical Education and Training:
- Mr Patrick Wellington Connelly attended and graduated from University Of Washington School Of Medicine in 1983
NPI Data:
- NPI Number: 1619965548
- Provider Enumeration Date: 10/13/2005
- Last Update Date: 08/25/2016
Medicare PECOS Information:
- PECOS PAC ID: 1658266325
- Enrollment ID: I20061026000552
Medical Identifiers
Medical identifiers for Mr Patrick Wellington Connelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619965548 | NPI | - | NPPES |
1255429353 | Other | AZ | GROUP NPI |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 34632 (Arizona) | Primary |
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 Patrick Wellington Connelly allows following entities to bill medicare on his behalf.
Entity Name | Connelly Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255429353 PECOS PAC ID: 7012914203 Enrollment ID: O20061101000038 |
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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 Patrick Wellington Connelly 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 |
Mr Patrick Wellington Connelly, MD 5300 S Sutter Dr, Suite 11, Show Low, AZ 85901-8050 Ph: (928) 537-9844 | Mr Patrick Wellington Connelly, MD 5300 S Sutter Dr, Suite 11, Show Low, AZ 85901-8050 Ph: (928) 537-9844 |
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