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.
Physician's Profile
Full Name | Angela J Wyatt |
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Gender | Female |
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Speciality | Dermatology |
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Experience | 23 Years |
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Location | 150 N Verde St Ste 101, Flagstaff, Arizona |
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Accepts Medicare Assignments | Yes. 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.
Identifier | Type | State | Issuer |
1528011368 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ND0900X | Dermatology - Dermatopathology | 42581 (Arizona) | Secondary |
207NP0225X | Dermatology - Pediatric Dermatology | 42581 (Arizona) | Secondary |
207NI0002X | Dermatology - Clinical & Laboratory Dermatological Immunology | 226600 (New York) | Secondary |
207NI0002X | Dermatology - Clinical & Laboratory Dermatological Immunology | M4667 (Texas) | Secondary |
207NI0002X | Dermatology - Clinical & Laboratory Dermatological Immunology | 42581 (Arizona) | Secondary |
207NP0225X | Dermatology - Pediatric Dermatology | 226600 (New York) | Secondary |
207NP0225X | Dermatology - Pediatric Dermatology | M4667 (Texas) | Secondary |
207NS0135X | Dermatology - Procedural Dermatology | 42581 (Arizona) | Secondary |
207NS0135X | Dermatology - Procedural Dermatology | 226600 (New York) | Secondary |
207NS0135X | Dermatology - Procedural Dermatology | M4667 (Texas) | Secondary |
207N00000X | Dermatology | 42581 (Arizona) | Primary |
207N00000X | Dermatology | M4667 (Texas) | Secondary |
207ND0900X | Dermatology - Dermatopathology | 226600 (New York) | Secondary |
207ND0900X | Dermatology - Dermatopathology | M4667 (Texas) | Secondary |
207N00000X | Dermatology | 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 Name | Angela Wyatt Dermatology, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053640151 PECOS PAC ID: 4688716830 Enrollment ID: O20100126000596 |
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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. 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 Address | Practice 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 |
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