Dr Kenneth Stephen Bistricky, MD - Dermatology in Phoenix, AZ

Dr Kenneth Stephen Bistricky, MD is a Dermatology physician based in Phoenix, Arizona. Dr Kenneth Stephen Bistricky is licensed to practice in Arizona (license number 8807) and his current practice location is 650 E Indian School Rd, Phoenix, Arizona. He can be reached at his office (for appointments etc.) via phone at (602) 277-5551.

NPI number for Dr Kenneth Stephen Bistricky is 1093806762 and his current mailing address is 3391 E. Cullumber Street, Gilbert, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093806762.

Contact Information

Dr Kenneth Stephen Bistricky, MD
650 E Indian School Rd,
Phoenix, AZ 85012-1839
(602) 277-5551
Not Available



Physician's Profile

Full NameDr Kenneth Stephen Bistricky
GenderMale
SpecialityDermatology
Location650 E Indian School Rd, Phoenix, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093806762
  • Provider Enumeration Date: 09/27/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Kenneth Stephen Bistricky such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093806762NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 8807 (Arizona)Primary

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. Dr Kenneth Stephen Bistricky is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kenneth Stephen Bistricky, MD
3391 E. Cullumber Street,
Gilbert, AZ 85234

Ph: (602) 277-5551
Dr Kenneth Stephen Bistricky, MD
650 E Indian School Rd,
Phoenix, AZ 85012-1839

Ph: (602) 277-5551

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Dermatology Doctors in Phoenix, AZ

Dr. Stella Xiang Chen, MD
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Medicare: Medicare Enrolled
Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054
Phone: 480-301-8000    
Christopher Bengson, M.D., M.H.S.
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Medicare: Accepting Medicare Assignments
Practice Location: 4212 N 16th St, Phoenix, AZ 85016
Phone: 602-263-1200    Fax: 602-200-5383
Dr. Karen Taraszka Hastings, MD, PHD
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Medicare: Not Enrolled in Medicare
Practice Location: 650 E Indian School Rd, Dermatology Clinic/copper Clinic, Phoenix, AZ 85012
Phone: 602-277-5551    
Dr. David Israel Andrews, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016
Phone: 602-933-0895    Fax: 602-933-2436
Richard George Bottiglione, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 4045 E Bell Rd, 125, Phoenix, AZ 85032
Phone: 602-971-0268    Fax: 602-971-1556
Amanda Carroll Rainwater, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 11130 N Tatum Blvd, #100, Phoenix, AZ 85028
Phone: 602-494-1817    Fax: 602-494-7103

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