Dr George Obrochta, DO in Fort Defiance, AZ - Medicare Emergency Medicine

Dr George Obrochta, DO is a medicare enrolled "Emergency Medicine" physician in Fort Defiance, Arizona. His current practice location is Corner Of Route N12 And N7, Fort Defiance, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 729-8000.

Dr George Obrochta is licensed to practice in Arizona (license number 011011) 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 1124606389.

Contact Information

	Dr George Obrochta, DO
	Corner Of Route N12 And N7, Fort Defiance, AZ 86504
	(928) 729-8000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr George Obrochta
Gender	Male
Speciality	Emergency Medicine
Location	Corner Of Route N12 And N7, Fort Defiance, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124606389
Provider Enumeration Date: 03/30/2021
Last Update Date: 05/08/2026

Medicare PECOS Information:

PECOS PAC ID: 7911445192
Enrollment ID: I20240819004086

Medical Identifiers

Medical identifiers for Dr George Obrochta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124606389	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	011011 (Arizona)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207P00000X	Emergency Medicine	125.077609 (Illinois)	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. Dr George Obrochta allows following entities to bill medicare on his behalf.

Entity Name	Cep America- Arizona, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780202804 PECOS PAC ID: 1850541970 Enrollment ID: O20121026000403

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. Dr George Obrochta 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
Dr George Obrochta, DO Po Box 649, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8000	Dr George Obrochta, DO Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Ph: (928) 729-8000

Reviews and Comments

Emergency Medicine Doctors in Fort Defiance, AZ

Dr. Romulo Laureta Parungao, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8600
Dr. Tyrone Harold Walker, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Rte N 12 And N 7, Fort Defiance, AZ 86504 Phone: 928-729-8600
Dr. Brian Ezar Cooper, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Rt N7 And N12, Fort Defiance, AZ 86504 Phone: 928-729-8600 Fax: 928-729-8624
Samuel Bryan Wood, Emergency Medicine Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8600
Nicholas Frank Zampariello, Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Elyssa Berg, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8600

Dr George Obrochta, DO - Medicare Emergency Medicine in Fort Defiance, AZ