Northern Arizona Dermatology Center PC
A Medicare group practice based in Cottonwood, AZ: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 8527951052), with 11 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8527951052
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- AZ
- Enrollments
- 1
- Group size
- 11 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040206000555 | AZ | Part B Supplier - Clinic/Group Practice | 1962558569 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Northern Arizona Dermatology Center PC
- Dermatology Physician
- Flagstaff, AZ
- NPI 1962558569
-
Northern Arizona Dermatology Center PC
- Dermatology Physician
- Flagstaff, AZ
- NPI 1477748069
-
Northern Arizona Dermatology Center PC
- Dermatology Physician
- Cottonwood, AZ
- NPI 1922293349
-
Northern Arizona Dermatology Center, PC
- Procedural Dermatology Physician
- Page, AZ
- NPI 1003112327
Practice locations
- Cottonwood, AZ2
- Flagstaff, AZ1
- Sedona, AZ1
Clinicians 11
Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (11).
-
Debora Thomas Andrews, MD
- Dermatology Physician
- Cottonwood, AZ
- NPI 1508814179
-
Kelly Michele Czarnecki, PAC
- Physician Assistant
- Flagstaff, AZ
- NPI 1043234610
-
Scott Morrison Dale, MD
- Dermatology Physician
- Flagstaff, AZ
- NPI 1760408785
-
Jessica Dixon
- Physician Assistant
- Cottonwood, AZ
- NPI 1336872803
-
Laurel S. Gray, MD, MS
- Dermatology Physician
- Flagstaff, AZ
- NPI 1487117867
-
Jordan J Miller, M.D.
- Procedural Dermatology Physician
- Flagstaff, AZ
- NPI 1245303718
-
Brendan O'Neill, M.D.
- Dermatology Physician
- Flagstaff, AZ
- NPI 1013170695
-
Kristina Paley, M.D.
- MOHS-Micrographic Surgery Physician
- Cottonwood, AZ
- NPI 1174729966
-
Sara Joy Risner-Rumohr, M.D.
- Dermatology Physician
- Flagstaff, AZ
- NPI 1922319334
-
Bradley Michael Taylor, M.D.
- Dermatology Physician
- Cottonwood, AZ
- NPI 1023338241
-
Ryan Wood, PA-C
- Physician Assistant
- Flagstaff, AZ
- NPI 1831941780
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.