Michael Ray Proctor, DO - Medicare Dermatology in Bullhead City, AZ

Michael Ray Proctor, DO is a medicare enrolled "Dermatology" physician in Bullhead City, Arizona. He went to College Of Osteo Med Of The Pacific At Pomona and graduated in 1988 and has 36 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Arizona Desert Dermatology And Surgery Pc and his current practice location is 3015 Highway 95, #110, Bullhead City, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 758-8885.

Michael Ray Proctor is licensed to practice in Arizona (license number 3378) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265501779.

Contact Information

Michael Ray Proctor, DO
3015 Highway 95, #110,
Bullhead City, AZ 86442
(928) 758-8885
(928) 758-2424



Physician's Profile

Full NameMichael Ray Proctor
GenderMale
SpecialityDermatology
Experience36 Years
Location3015 Highway 95, Bullhead City, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael Ray Proctor attended and graduated from College Of Osteo Med Of The Pacific At Pomona in 1988
  NPI Data:
  • NPI Number: 1265501779
  • Provider Enumeration Date: 11/07/2006
  • Last Update Date: 02/07/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 4981630340
  • Enrollment ID: I20050718000116

Medical Identifiers

Medical identifiers for Michael Ray Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265501779NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 3378 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Arizona Desert Dermatology And Surgery Pc63057325129

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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. Michael Ray Proctor allows following entities to bill medicare on his behalf.
Entity NameArizona Desert Dermatology And Surgery Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386702546
PECOS PAC ID: 6305732512
Enrollment ID: O20040225000253

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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. Michael Ray Proctor 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
Michael Ray Proctor, DO
3015 Highway 95, #110,
Bullhead City, AZ 86442

Ph: (928) 758-8885
Michael Ray Proctor, DO
3015 Highway 95, #110,
Bullhead City, AZ 86442

Ph: (928) 758-8885

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› Verified 6 days ago


Dermatology Doctors in Bullhead City, AZ

Dr. Daren Brooks, D.O.
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 3015 Hway 95 Ste 110, Bullhead City, AZ 86442
Phone: 435-313-1554    
Ryan Mark Proctor, D.O.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3015 Hway 95, Suite 110, Bullhead City, AZ 86442
Phone: 928-758-8885    Fax: 928-758-2424

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