Dr Kevin Wayne Potter, DO - Medicare General Surgery in Glendale, AZ

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Dr Kevin Wayne Potter, DO is a medicare enrolled "Surgery" physician in Glendale, Arizona. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Sjhmc Physician Services and his current practice location is 7330 N 99th Ave Ste 200, Glendale, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 406-4786.

Dr Kevin Wayne Potter is licensed to practice in Arizona (license number 005313) 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 1831355643.

Contact Information

Dr Kevin Wayne Potter, DO
7330 N 99th Ave Ste 200,
Glendale, AZ 85307-3018
(602) 406-4786
(916) 636-4358

Map and Direction




Physician's Profile

Full NameDr Kevin Wayne Potter
GenderMale
SpecialityGeneral Surgery
Experience21 Years
Location7330 N 99th Ave Ste 200, Glendale, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kevin Wayne Potter graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1831355643
  • Provider Enumeration Date: 07/31/2008
  • Last Update Date: 05/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9638239031
  • Enrollment ID: I20090812000783

Medical Identifiers

Medical identifiers for Dr Kevin Wayne Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831355643NPI-NPPES
Z199540OtherAZMEDICARE
445137MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 005313 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St. Joseph's Hospital And Medical CenterPhoenix, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sjhmc Physician Services4486646197533

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. Dr Kevin Wayne Potter allows following entities to bill medicare on his behalf.
Entity NameSjhmc Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326098005
PECOS PAC ID: 4486646197
Enrollment ID: O20040401001189
Entity NameSt. Joseph's Hospital And Medical Center C/o Dignity Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255382412
PECOS PAC ID: 6709863178
Enrollment ID: O20040702000601

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. Dr Kevin Wayne Potter 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 AddressPractice Location Address
Dr Kevin Wayne Potter, DO
Po Box 33269,
Phoenix, AZ 85067-3269

Ph: (602) 406-4786		Dr Kevin Wayne Potter, DO
7330 N 99th Ave Ste 200,
Glendale, AZ 85307-3018

Ph: (602) 406-4786

Reviews and Comments


Surgery Doctors in Glendale, AZ

Joseph S Janik, MD
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Phone: 602-865-4065    Fax: 602-865-6100
Layne C. Sandridge, M.D.
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Phone: 623-688-5075    Fax: 623-688-5075
Sivakami Brenda Moorthy, DO
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Dr. Lannery Sioeli Lauvao, MD
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Dr. Emily Welker, M.D.
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Phone: 623-312-3000    Fax: 623-312-3060
Karthik Raghavan, M.D.
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Practice Location: 5700 W Olive Ave Ste 106, Glendale, AZ 85302
Phone: 623-377-7011    Fax: 623-344-8353
Ronald L. Bauer, M.D.
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Practice Location: 6320 W Union Hills Dr Ste 1600b, Glendale, AZ 85308
Phone: 602-277-4868    Fax: 602-230-9350

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.