David Abraham Baltazar, DO in Peoria, AZ

David Abraham Baltazar, DO is a medicare enrolled "Dermatology" physician in Peoria, Arizona. His current practice location is 13943 N 91st Ave Ste C101, Peoria, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 972-3992.

David Abraham Baltazar is licensed to practice in Arizona (license number 010194) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1972038461.

Contact Information

	David Abraham Baltazar, DO
	13943 N 91st Ave Ste C101, Peoria, AZ 85381-3688
	(623) 972-3992
	Not Available

Map and Direction

Physician's Profile

Full Name	David Abraham Baltazar
Gender	Male
Speciality	Dermatology
Location	13943 N 91st Ave Ste C101, Peoria, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972038461
Provider Enumeration Date: 04/22/2017
Last Update Date: 11/08/2023

Medicare PECOS Information:

PECOS PAC ID: 7416281399
Enrollment ID: I20230620001458

Medical Identifiers

Medical identifiers for David Abraham Baltazar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972038461	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	010194 (Arizona)	Primary

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. David Abraham Baltazar allows following entities to bill medicare on his behalf.

Entity Name	Southwest Skin Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174521926 PECOS PAC ID: 9739079864 Enrollment ID: O20040319001063

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. David Abraham Baltazar 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
David Abraham Baltazar, DO 13943 N 91st Ave Ste C101, Peoria, AZ 85381-3688 Ph: (623) 972-3992	David Abraham Baltazar, DO 13943 N 91st Ave Ste C101, Peoria, AZ 85381-3688 Ph: (623) 972-3992

Reviews and Comments

Dermatology Doctors in Peoria, AZ

Lori-ann R Wilcox, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13943 N 91st Ave, C-101, Peoria, AZ 85381 Phone: 623-760-9449 Fax: 623-974-9351
Deborah Zell, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13943 N 91st Ave, #c-1, Peoria, AZ 85381 Phone: 623-972-3992 Fax: 623-583-4074
Mary F Fredenberg, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14155 N 83rd Ave, Suite #110, Peoria, AZ 85381 Phone: 623-215-0911 Fax: 623-215-0912
Dr. Julie Jacobs, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14155 N 83rd Ave Ste 110, Peoria, AZ 85381 Phone: 623-888-8145
Dr. Troy C Ellis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13943 N 91st Ave, #c-101, Peoria, AZ 85381 Phone: 623-760-9449 Fax: 623-974-9351
Douglas Heiner, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14155 N 83rd Ave Ste 110, Peoria, AZ 85381 Phone: 623-215-0911
Dr. Rosemary Theresa Depaoli, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7767 W Deer Valley Rd Ste 140, Peoria, AZ 85382 Phone: 623-487-3003 Fax: 623-889-7137

David Abraham Baltazar, DO - Medicare Dermatology in Peoria, AZ