Angela J Wyatt, MD - Medicare Dermatology in Flagstaff, AZ

Angela J Wyatt, MD is a medicare enrolled "Dermatology" physician in Flagstaff, Arizona. She went to University Of Arizona College Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Dermatology. Her current practice location is 150 N Verde St Ste 101, Flagstaff, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 779-6923.

Angela J Wyatt is licensed to practice in Arizona (license number 42581) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528011368.

Contact Information

Angela J Wyatt, MD
150 N Verde St Ste 101,
Flagstaff, AZ 86001-5257
(928) 779-6923
(928) 779-6924

Map and Direction




Physician's Profile

Full NameAngela J Wyatt
GenderFemale
SpecialityDermatology
Experience23 Years
Location150 N Verde St Ste 101, Flagstaff, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Angela J Wyatt attended and graduated from University Of Arizona College Of Medicine in 2001
  NPI Data:
  • NPI Number: 1528011368
  • Provider Enumeration Date: 05/19/2006
  • Last Update Date: 01/15/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3476559113
  • Enrollment ID: I20100126000720

Medical Identifiers

Medical identifiers for Angela J Wyatt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528011368NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ND0900XDermatology - Dermatopathology 42581 (Arizona)Secondary
207NP0225XDermatology - Pediatric Dermatology 42581 (Arizona)Secondary
207NI0002XDermatology - Clinical & Laboratory Dermatological Immunology 226600 (New York)Secondary
207NI0002XDermatology - Clinical & Laboratory Dermatological Immunology M4667 (Texas)Secondary
207NI0002XDermatology - Clinical & Laboratory Dermatological Immunology 42581 (Arizona)Secondary
207NP0225XDermatology - Pediatric Dermatology 226600 (New York)Secondary
207NP0225XDermatology - Pediatric Dermatology M4667 (Texas)Secondary
207NS0135XDermatology - Procedural Dermatology 42581 (Arizona)Secondary
207NS0135XDermatology - Procedural Dermatology 226600 (New York)Secondary
207NS0135XDermatology - Procedural Dermatology M4667 (Texas)Secondary
207N00000XDermatology 42581 (Arizona)Primary
207N00000XDermatology M4667 (Texas)Secondary
207ND0900XDermatology - Dermatopathology 226600 (New York)Secondary
207ND0900XDermatology - Dermatopathology M4667 (Texas)Secondary
207N00000XDermatology 226600 (New York)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. Angela J Wyatt allows following entities to bill medicare on her behalf.
Entity NameAngela Wyatt Dermatology, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053640151
PECOS PAC ID: 4688716830
Enrollment ID: O20100126000596

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. Angela J Wyatt 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
Angela J Wyatt, MD
1501 S Yale St, Suite 152,
Flagstaff, AZ 86001-7304

Ph: (928) 779-6923
Angela J Wyatt, MD
150 N Verde St Ste 101,
Flagstaff, AZ 86001-5257

Ph: (928) 779-6923

Reviews and Comments


Dermatology Doctors in Flagstaff, AZ

Brendan O'neill, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1490 N Turquoise Dr, Flagstaff, AZ 86001
Phone: 928-774-5074    Fax: 928-779-0884
Carl Frederick Bigler, M.D.
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 1490 N Turquoise Dr, Flagstaff, AZ 86001
Phone: 928-774-5074    Fax: 928-779-0884
Dr. Jordan J Miller, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1490 N Turquoise Dr, Flagstaff, AZ 86001
Phone: 928-774-5074    Fax: 928-779-0884
Scott Morrison Dale, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1490 N Turquoise Dr, Flagstaff, AZ 86001
Phone: 928-774-5074    Fax: 928-779-0884
Edward Charles Kauffman, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 1490 N Turquoise Dr, Flagstaff, AZ 86001
Phone: 928-774-5074    Fax: 928-779-0884
Therese Ann Holguin, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1490 N Turquoise Dr, Flagstaff, AZ 86001
Phone: 928-774-5074    Fax: 928-779-0884

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.