Dr Pablo Andres Angulo, DO - Medicare Pediatrics in Phoenix, AZ

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Dr Pablo Andres Angulo, DO is a medicare enrolled "Pediatrics - Pediatric Hematology-oncology" physician in Phoenix, Arizona. His current practice location is 2601 E Roosevelt St, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 345-5885.

Dr Pablo Andres Angulo is licensed to practice in Missouri (license number FA39359651) 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 1902122120.

Contact Information

Dr Pablo Andres Angulo, DO
2601 E Roosevelt St,
Phoenix, AZ 85008-4973
(602) 345-5885
Not Available

Map and Direction




Physician's Profile

Full NameDr Pablo Andres Angulo
GenderMale
SpecialityPediatrics - Pediatric Hematology-oncology
Location2601 E Roosevelt St, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902122120
  • Provider Enumeration Date: 04/13/2010
  • Last Update Date: 07/20/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 1658660790
  • Enrollment ID: I20190222002572

Medical Identifiers

Medical identifiers for Dr Pablo Andres Angulo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902122120NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0207XPediatrics - Pediatric Hematology-oncology FA39359651 (Missouri)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. Dr Pablo Andres Angulo allows following entities to bill medicare on his behalf.
Entity NameBanner Cancer Center Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518253152
PECOS PAC ID: 6103097779
Enrollment ID: O20110913000224
Entity NameBanner Physician Super Specialists Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841573870
PECOS PAC ID: 7911173794
Enrollment ID: O20111228000353
Entity NameBanner - University Super Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740650555
PECOS PAC ID: 1850695255
Enrollment ID: O20160204002443

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 Pablo Andres Angulo 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 AddressPractice Location Address
Dr Pablo Andres Angulo, DO
2401 Gillham Rd,
Kansas City, MO 64108-4619

Ph: (816) 855-1867		Dr Pablo Andres Angulo, DO
2601 E Roosevelt St,
Phoenix, AZ 85008-4973

Ph: (602) 345-5885

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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