| Mark R Pittelkow, MD | |
|
13400 E Shea Blvd, Scottsdale, AZ 85259 | |
| (480) 301-8508 | |
| Not Available |
| Full Name | Mark R Pittelkow |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 47 Years |
| Location | 13400 E Shea Blvd, Scottsdale, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164401675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 18686 (Arizona) | Primary |
| 207N00000X | Dermatology | 25472 (Minnesota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Clinic Hospital | Phoenix, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayo Clinic Arizona | 7012829930 | 1618 |
| Entity Name | Mayo Clinic Arizona |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558332494 PECOS PAC ID: 7012829930 Enrollment ID: O20031105000782 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark R Pittelkow, MD 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 Ph: (480) 301-8000 | Mark R Pittelkow, MD 13400 E Shea Blvd, Scottsdale, AZ 85259 Ph: (480) 301-8508 |
Nirav Patel, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 20201 N Scottsdale Healthcare Dr, Ste 260, Scottsdale, AZ 85255 Phone: 480-398-1550 Fax: 480-398-1551 |
Jacqueline Watchmaker, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10900 N Scottsdale Rd, Scottsdale, AZ 85254 Phone: 480-210-1988 |
Jake Golden Besch, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 |
Dr. Anthony John Petelin, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14275 N 87th St, Suite #110, Scottsdale, AZ 85260 Phone: 480-905-8485 Fax: 480-905-7274 |
Dr. Hannah Karen Godfrey, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 |
Lindsey Alexis Bordone, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 8390 E Via De Ventura Ste F110, Scottsdale, AZ 85258 Phone: 917-983-0758 |
Dr. Mitchell Ryan Manway, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 20401 N 73rd St Ste 230, Scottsdale, AZ 85255 Phone: 480-556-0446 Fax: 480-556-0447 |