Michael Joseph Puchowicz, MD is a medicare enrolled "Pediatrics - Sports Medicine" physician in Lakeside, Arizona. He went to Vanderbilt University School Of Medicine and graduated in 2007 and has 19 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Phoenix Children's Hospital and his current practice location is
4830 Highway 260, Suite 102, Lakeside, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 537-1040.
Michael Joseph Puchowicz is licensed to practice in Arizona (license number 44940) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134452303.
Physician's Profile
| Full Name | Michael Joseph Puchowicz |
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| Gender | Male |
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| Speciality | Sports Medicine |
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| Experience | 19 Years |
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| Location | 4830 Highway 260, Lakeside, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michael Joseph Puchowicz attended and graduated from Vanderbilt University School Of Medicine in 2007
NPI Data:
- NPI Number: 1134452303
- Provider Enumeration Date: 09/04/2009
- Last Update Date: 04/06/2012
Medicare PECOS Information:
- PECOS PAC ID: 2264690171
- Enrollment ID: I20120223000638
Medical Identifiers
Medical identifiers for Michael Joseph Puchowicz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134452303 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2080S0010X | Pediatrics - Sports Medicine | 44940 (Arizona) | Primary |
| 208000000X | Pediatrics | 44940 (Arizona) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Phoenix Children's Hospital | 0446278584 | 431 |
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. Michael Joseph Puchowicz allows following entities to bill medicare on his behalf.
| Entity Name | Phoenix Children's Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922112044
PECOS PAC ID: 0446278584
Enrollment ID: O20051107000704 |
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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. Michael Joseph Puchowicz 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 |
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Michael Joseph Puchowicz, MD
4830 Highway 260, Suite 102,
Lakeside, AZ 85929-5845
Ph: (928) 537-1040 | Michael Joseph Puchowicz, MD
4830 Highway 260, Suite 102,
Lakeside, AZ 85929-5845
Ph: (928) 537-1040 |
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