Justin Daniel Doroshenko, DO - Medicare Emergency Medicine in Flagstaff, AZ

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Justin Daniel Doroshenko, DO is a medicare enrolled "Emergency Medicine" physician in Flagstaff, Arizona. His current practice location is 1200 N Beaver St, Flagstaff, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 214-3930.

Justin Daniel Doroshenko is licensed to practice in Arizona (license number 011679) 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 1780326710.

Contact Information

Justin Daniel Doroshenko, DO
1200 N Beaver St,
Flagstaff, AZ 86001-3118
(928) 214-3930
Not Available

Map and Direction




Physician's Profile

Full NameJustin Daniel Doroshenko
GenderMale
SpecialityEmergency Medicine
Location1200 N Beaver St, Flagstaff, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780326710
  • Provider Enumeration Date: 04/11/2022
  • Last Update Date: 07/21/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6800326901
  • Enrollment ID: I20250204003494

Medical Identifiers

Medical identifiers for Justin Daniel Doroshenko such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780326710NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine V5523 (Texas)Secondary
207P00000XEmergency Medicine 011679 (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. Justin Daniel Doroshenko allows following entities to bill medicare on his behalf.
Entity NameConcord Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083630610
PECOS PAC ID: 0446296818
Enrollment ID: O20050707000531
Entity NameConcord Medical Group Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750790762
PECOS PAC ID: 7810117223
Enrollment ID: O20141007002567

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. Justin Daniel Doroshenko 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
Justin Daniel Doroshenko, DO
Po Box 67,
Flagstaff, AZ 86002-0067

Ph: () -		Justin Daniel Doroshenko, DO
1200 N Beaver St,
Flagstaff, AZ 86001-3118

Ph: (928) 214-3930

Reviews and Comments


Emergency Medicine Doctors in Flagstaff, AZ

Thomas Matthew Reeve, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 210-464-7442    
Dr. Nathan Lawrence Whitfield, M.D., PH.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-214-3930    
Dr. Michael Ray,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-380-0476    Fax: 928-214-3882
Dr. Kevin Conn, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-380-0476    Fax: 928-214-3882
Dr. Edward Clark Hiltner Jr., MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-779-3366    Fax: 928-214-3882
Sarah Joy Ring,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-214-3930    
Dr. Brian C Fuller, D.O.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2000 S Thompson St, Flagstaff, AZ 86001
Phone: 928-226-6400    Fax: 928-226-6411

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.