Collin Udall, MD in Mesa, AZ - Medicare Family Practice

Collin Udall, MD is a medicare enrolled "Family Medicine" physician in Mesa, Arizona. He went to University Of Arizona College Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Summit Medical Group Arizona Llc and his current practice location is 3048 E Baseline Rd, Ste 109, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 632-1117.

Collin Udall is licensed to practice in Arizona (license number 15439) 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 1861495434.

Contact Information

	Collin Udall, MD
	3048 E Baseline Rd, Ste 109, Mesa, AZ 85204-7287
	(480) 632-1117
	(480) 632-1118

Map and Direction

Physician's Profile

Full Name	Collin Udall
Gender	Male
Speciality	Family Practice
Experience	42 Years
Location	3048 E Baseline Rd, Mesa, Arizona
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:

Collin Udall attended and graduated from University Of Arizona College Of Medicine in 1982

NPI Data:

NPI Number: 1861495434
Provider Enumeration Date: 05/27/2005
Last Update Date: 09/13/2011

Medicare PECOS Information:

PECOS PAC ID: 2860487469
Enrollment ID: I20040729000041

Medical Identifiers

Medical identifiers for Collin Udall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861495434	NPI	-	NPPES
AZ0878720	Other	AZ	BLUE CROSS BLUE SHIELD
1Z1014	Other	AZ	HEALTHNET
621104	Other	AZ	AETNA INSURANCE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	15439 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Summit Medical Group Arizona Llc	3173872835	198

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. Collin Udall allows following entities to bill medicare on his behalf.

Entity Name	Summit Medical Group Arizona Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053810622 PECOS PAC ID: 3173872835 Enrollment ID: O20180814003015

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. Collin Udall 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
Collin Udall, MD 3048 E Baseline Rd, Ste 109, Mesa, AZ 85204-7286 Ph: (480) 632-1117	Collin Udall, MD 3048 E Baseline Rd, Ste 109, Mesa, AZ 85204-7287 Ph: (480) 632-1117

Reviews and Comments

Family Medicine Doctors in Mesa, AZ

Dr. Jose Rapanan Jr., DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10032 E Southern Ave, Mesa, AZ 85209 Phone: 480-351-2850
Jennifer Christine Fendler, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 924 N Country Club Dr, Mesa, AZ 85201 Phone: 480-601-3528
George Ting, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1111 N Stapley Dr, Mesa, AZ 85203 Phone: 480-464-8500
Dr. Thomas P Porter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1950 S Country Club Dr, Mesa, AZ 85210 Phone: 480-969-1446 Fax: 480-969-9105
Dana S Farris, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10238 E Hampton Ave Ste 506, Mesa, AZ 85209 Phone: 480-834-7546 Fax: 480-833-8313
Nancy Mucha, CNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2843 N 89th St, Mesa, AZ 85207 Phone: 480-396-3482
Ryan Elisabeth Romo, Family Medicine Medicare: Medicare Enrolled Practice Location: 1705 W Main St, Mesa, AZ 85201 Phone: 877-809-5092

Collin Udall, MD - Medicare Family Practice in Mesa, AZ