Dr Patricia I Ceballos, MD - Medicare Dermatology in Prescott, AZ

Dr Patricia I Ceballos, MD is a medicare enrolled "Dermatology" physician in Prescott, Arizona. She went to University Of Miami, Lm Miller School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Forefront Dermatology and her current practice location is 830 Ainsworth Dr, Prescott, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 777-5800.

Dr Patricia I Ceballos is licensed to practice in Arizona (license number 62481) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528054855.

Contact Information

Dr Patricia I Ceballos, MD
830 Ainsworth Dr,
Prescott, AZ 86301-1630
(928) 777-5800
(928) 776-0405



Physician's Profile

Full NameDr Patricia I Ceballos
GenderFemale
SpecialityDermatology
Experience38 Years
Location830 Ainsworth Dr, Prescott, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Patricia I Ceballos attended and graduated from University Of Miami, Lm Miller School Of Medicine in 1986
  NPI Data:
  • NPI Number: 1528054855
  • Provider Enumeration Date: 09/22/2005
  • Last Update Date: 10/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0840471918
  • Enrollment ID: I20210203002573

Medical Identifiers

Medical identifiers for Dr Patricia I Ceballos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528054855NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ND0101XDermatology - Mohs-micrographic Surgery 62481 (Arizona)Secondary
207NS0135XDermatology - Procedural Dermatology 62481 (Arizona)Secondary
207ZD0900XPathology - Dermatopathology 62481 (Arizona)Secondary
207N00000XDermatology 62481 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Forefront Dermatology3779471701474

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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. Dr Patricia I Ceballos allows following entities to bill medicare on her behalf.
Entity NameArizona Associates In Dermatology And Cosmetic Surgery, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659467397
PECOS PAC ID: 0840234902
Enrollment ID: O20050620000400

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Entity NameForefront Dermatology Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396340162
PECOS PAC ID: 3779471701
Enrollment ID: O20210407000493

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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 Patricia I Ceballos 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
Dr Patricia I Ceballos, MD
801 York St,
Manitowoc, WI 54220-4630

Ph: (920) 663-9008
Dr Patricia I Ceballos, MD
830 Ainsworth Dr,
Prescott, AZ 86301-1630

Ph: (928) 777-5800

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Dermatology Doctors in Prescott, AZ

Dr. Joseph S Machuzak, D.O.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3101 Clearwater Dr Ste C, Prescott, AZ 86305
Phone: 928-202-4143    Fax: 928-233-8917
Dr. Rita E Fisler, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 830 Ainsworth Dr, Prescott, AZ 86301
Phone: 928-777-5800    Fax: 928-776-0405
Dr. Richard Allen Cirelli, M.D
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 955 Black Dr, Prescott, AZ 86305
Phone: 928-445-7546    Fax: 928-445-7598
Charles H Johnson, M.D.
Dermatology
Medicare: Medicare Enrolled
Practice Location: 830 Ainsworth Drive, Prescott, AZ 86301
Phone: 928-776-0325    Fax: 928-776-0405
Dr. Carlos Frederico Rodriguez, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 830 Ainsworth Dr, Prescott, AZ 86301
Phone: 928-777-5800    Fax: 928-776-0405
Kirsten Flynn, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 830 Ainsworth Dr, Prescott, AZ 86301
Phone: 928-777-5800    Fax: 928-776-0405

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