Mr Patrick Wellington Connelly, MD - Medicare Obstetrics & Gynecology in Show Low, AZ

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Mr Patrick Wellington Connelly, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Show Low, Arizona. His current practice location is 5300 S Sutter Dr, Suite 11, Show Low, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 537-9844.

Mr Patrick Wellington Connelly is licensed to practice in Arizona (license number 34632) 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 1619965548.

Contact Information

Mr Patrick Wellington Connelly, MD
5300 S Sutter Dr, Suite 11,
Show Low, AZ 85901-8050
(928) 537-9844
(928) 537-4437

Map and Direction




Physician's Profile

Full NameMr Patrick Wellington Connelly
GenderMale
SpecialityObstetrics & Gynecology
Location5300 S Sutter Dr, Show Low, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619965548
  • Provider Enumeration Date: 10/13/2005
  • Last Update Date: 08/25/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1658266325
  • Enrollment ID: I20061026000552

Medical Identifiers

Medical identifiers for Mr Patrick Wellington Connelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619965548NPI-NPPES
1255429353OtherAZGROUP NPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 34632 (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. Mr Patrick Wellington Connelly allows following entities to bill medicare on his behalf.
Entity NameKingman Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265423917
PECOS PAC ID: 6901791367
Enrollment ID: O20040216001173
Entity NameSummit Healthcare Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467878108
PECOS PAC ID: 8729205737
Enrollment ID: O20140815000931

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. Mr Patrick Wellington Connelly 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
Mr Patrick Wellington Connelly, MD
5300 S Sutter Dr, Suite 11,
Show Low, AZ 85901-8050

Ph: (928) 537-9844		Mr Patrick Wellington Connelly, MD
5300 S Sutter Dr, Suite 11,
Show Low, AZ 85901-8050

Ph: (928) 537-9844

Reviews and Comments


Obstetrics & Gynecology Doctors in Show Low, AZ

Dr. Benjamin Russell Richardson, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 5171 Cub Lake Rd Ste B210, Show Low, AZ 85901
Phone: 928-537-0635    Fax: 928-532-8957
Brittany Leigh Stam, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 5171 S Cub Lake Rd Ste C340, Show Low, AZ 85901
Phone: 480-821-3600    Fax: 480-857-2667

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.