Individual provider Active NPI

Daniel C Schickner, MD

  • Ophthalmology Physician
  • Bullhead City, AZ
National Provider Identifier
1467418194
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
28356 Issued in AZ
Practice address
1800 Highway 95
Bullhead City, AZ 86442-6803
Phone
(928) 763-4333
NPI assigned
Apr 21, 2006
Last updated
Mar 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 28356 AZ Primary

Addresses

Primary practice location

1800 Highway 95
Bullhead City, AZ 86442-6803

Mailing address

1800 Highway 95
Bullhead City, AZ 86442-6803
Phone (928) 763-4333

Other identifiers 1

IdentifierTypeStateIssuer
570855MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071102000271 AZ Practitioner - Ophthalmology 9032206396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Georgetown University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Medical Eye Center LLCGroup PAC ID 4284721549, 3 clinicians

Practice addresses (Care Compare)

1800 Hwy 95
Bullhead City, AZ 86442-6803
Phone (928) 763-4333

Merit-based Incentive Payment System (MIPS)

Final score
88.14 of 100Reported as group
Quality
77.65
Improvement activities
40
Cost
90.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Western Medical Eye Center, LLC CurrentSince Jan 1, 2008 Accepting new patients
Western Medical Eye Center Past Accepting new patients
Physicians Surgery Center LLC PastSince Oct 1, 2004 Accepting new patients

Locations

1800 Highway 95
Bullhead City, AZ 86442
Phone (928) 763-4333

1800 Highway 95
Ste 2
Bullhead City, AZ 86442
Phone (520) 763-4333

1800 Highway 95
Ste 3
Bullhead City, AZ 86442
Phone (602) 793-4333

3953 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-3330

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1467418194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HIGHWAY 95",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426803",
            "telephone_number": "928-763-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HIGHWAY 95",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426803",
            "telephone_number": "928-763-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHICKNER",
        "first_name": "DANIEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "28356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "570855",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

Verify at the official NPI Registry.