Michael Ray Proctor, DO is a medicare enrolled "Dermatology" physician in Bullhead City, Arizona. He went to College Of Osteo Med Of The Pacific At Pomona and graduated in 1988 and has 36 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Arizona Desert Dermatology And Surgery Pc and his current practice location is
3015 Highway 95, #110, Bullhead City, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 758-8885.
Michael Ray Proctor is licensed to practice in Arizona (license number 3378) 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 1265501779.
Physician's Profile
| Full Name | Michael Ray Proctor |
|---|
| Gender | Male |
|---|
| Speciality | Dermatology |
|---|
| Experience | 36 Years |
|---|
| Location | 3015 Highway 95, Bullhead City, 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. |
|---|
Medical Education and Training:
- Michael Ray Proctor attended and graduated from College Of Osteo Med Of The Pacific At Pomona in 1988
NPI Data:
- NPI Number: 1265501779
- Provider Enumeration Date: 11/07/2006
- Last Update Date: 02/07/2008
Medicare PECOS Information:
- PECOS PAC ID: 4981630340
- Enrollment ID: I20050718000116
Medical Identifiers
Medical identifiers for Michael Ray Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265501779 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 3378 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Arizona Desert Dermatology And Surgery Pc | 6305732512 | 9 |
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 Ray Proctor allows following entities to bill medicare on his behalf.
| Entity Name | Arizona Desert Dermatology And Surgery Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1386702546
PECOS PAC ID: 6305732512
Enrollment ID: O20040225000253 |
|---|
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 Ray Proctor 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 |
|---|
Michael Ray Proctor, DO
3015 Highway 95, #110,
Bullhead City, AZ 86442
Ph: (928) 758-8885 | Michael Ray Proctor, DO
3015 Highway 95, #110,
Bullhead City, AZ 86442
Ph: (928) 758-8885 |
Reviews and Comments