Bryan Robert Updegraff, MD is a medicare enrolled "Dermatology" physician in Sun City, Arizona. He went to New York Medical College and graduated in 1970 and has 54 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Updegraff Clinic For Allergy And Dermatology Pc and his current practice location is
14666 N Del Webb Blvd, Sun City, Arizona. You can reach out to his office (for appointments etc.) via phone at
(623) 933-3107.
Bryan Robert Updegraff is licensed to practice in Arizona (license number 10896) 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 1710971320.
Physician's Profile
| Full Name | Bryan Robert Updegraff |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 54 Years |
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| Location | 14666 N Del Webb Blvd, Sun City, 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:
- Bryan Robert Updegraff attended and graduated from New York Medical College in 1970
NPI Data:
- NPI Number: 1710971320
- Provider Enumeration Date: 09/09/2005
- Last Update Date: 01/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 4981597440
- Enrollment ID: I20060324000108
Medical Identifiers
Medical identifiers for Bryan Robert Updegraff such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710971320 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207NI0002X | Dermatology - Clinical & Laboratory Dermatological Immunology | 10896 (Arizona) | Secondary |
| 207NP0225X | Dermatology - Pediatric Dermatology | 10896 (Arizona) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 10896 (Arizona) | Secondary |
| 207N00000X | Dermatology | 10896 (Arizona) | Primary |
| 207K00000X | Allergy & Immunology | 10896 (Arizona) | Secondary |
| 207KA0200X | Allergy & Immunology - Allergy | 10896 (Arizona) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 10896 (Arizona) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | 10896 (Arizona) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Updegraff Clinic For Allergy And Dermatology Pc | 8123180841 | 3 |
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. Bryan Robert Updegraff allows following entities to bill medicare on his behalf.
| Entity Name | Updegraff Clinic For Allergy & Dermatology Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073767240
PECOS PAC ID: 8123180841
Enrollment ID: O20081215000272 |
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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. Bryan Robert Updegraff 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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Bryan Robert Updegraff, MD
14666 N Del Webb Blvd,
Sun City, AZ 85351-2137
Ph: (623) 933-3107 | Bryan Robert Updegraff, MD
14666 N Del Webb Blvd,
Sun City, AZ 85351-2137
Ph: (623) 933-3107 |
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