John Stathakis, DO - Medicare Dermatology in Phoenix, AZ

John Stathakis, DO is a medicare enrolled "Dermatology" physician in Phoenix, Arizona. His current practice location is 5056 N Central Ave, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 222-9111.

John Stathakis is licensed to practice in Arizona (license number 0999) 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 1265426910.

Contact Information

John Stathakis, DO
5056 N Central Ave,
Phoenix, AZ 85012-1521
(602) 222-9111
(602) 222-9333



Physician's Profile

Full NameJohn Stathakis
GenderMale
SpecialityDermatology
Location5056 N Central Ave, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265426910
  • Provider Enumeration Date: 09/08/2005
  • Last Update Date: 07/11/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 3870558349
  • Enrollment ID: I20041123001056

Medical Identifiers

Medical identifiers for John Stathakis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265426910NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 0999 (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. John Stathakis allows following entities to bill medicare on his behalf.
Entity NamePhoenix Skin Ii Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609078997
PECOS PAC ID: 8123019833
Enrollment ID: O20040521000007

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Entity NameHp & Rp Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811635642
PECOS PAC ID: 6305228388
Enrollment ID: O20220808002248

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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. John Stathakis 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
John Stathakis, DO
5056 N Central Ave,
Phoenix, AZ 85012-1521

Ph: (602) 222-9111
John Stathakis, DO
5056 N Central Ave,
Phoenix, AZ 85012-1521

Ph: (602) 222-9111

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Dermatology Doctors in Phoenix, AZ

Dr. Stella Xiang Chen, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054
Phone: 480-301-8000    
Christopher Bengson, M.D., M.H.S.
Dermatology
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
Dermatology
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
Dermatology
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
Dermatology
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
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 11130 N Tatum Blvd, #100, Phoenix, AZ 85028
Phone: 602-494-1817    Fax: 602-494-7103
Dr. Kenneth Stephen Bistricky, M.D.
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 650 E Indian School Rd, Phoenix, AZ 85012
Phone: 602-277-5551    

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