Michelle Dewolf Allen, DO - Medicare Pediatrics in Mesa, AZ

Michelle Dewolf Allen, DO is a medicare enrolled "Pediatrics" physician in Mesa, Arizona. Her current practice location is 1220 S Higley Rd, Suite 101, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 615-2010.

Michelle Dewolf Allen is licensed to practice in Arizona (license number 3693) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902896590.

Contact Information

Michelle Dewolf Allen, DO
1220 S Higley Rd, Suite 101,
Mesa, AZ 85206-4000
(480) 615-2010
(480) 324-0950



Physician's Profile

Full NameMichelle Dewolf Allen
GenderFemale
SpecialityPediatrics
Location1220 S Higley Rd, Mesa, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902896590
  • Provider Enumeration Date: 10/25/2005
  • Last Update Date: 06/10/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 2466697503
  • Enrollment ID: I20130320000771

Medical Identifiers

Medical identifiers for Michelle Dewolf Allen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902896590NPI-NPPES
611641MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 3693 (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. Michelle Dewolf Allen allows following entities to bill medicare on her behalf.
Entity NameBanner Primary Care Physicians Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417238908
PECOS PAC ID: 6406020155
Enrollment ID: O20111115000898

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Entity NameBanner Childrens Banner Health Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407191216
PECOS PAC ID: 2466697735
Enrollment ID: O20130315000131

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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. Michelle Dewolf Allen 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
Michelle Dewolf Allen, DO
Po Box 16455,
Mesa, AZ 85211-6455

Ph: (480) 615-2075
Michelle Dewolf Allen, DO
1220 S Higley Rd, Suite 101,
Mesa, AZ 85206-4000

Ph: (480) 615-2010

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› Verified 1 days ago


Pediatrics Doctors in Mesa, AZ

Jyoti S. Lebonheur, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1840 S. Stapley Drive, Suite 101, Mesa, AZ 85204
Phone: 480-464-8500    
Dr. Eric Gabriel Gonzalez, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 616 E Southern Ave, #103, Mesa, AZ 85204
Phone: 602-569-3999    Fax: 602-569-3887
Pacita Tee Opulencia, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 59 S Hibbert, Mesa, AZ 85210
Phone: 480-344-6226    Fax: 602-344-6201
Dr. Daniel E Miga, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1432 S Dobson Rd Ste 512, Mesa, AZ 85202
Phone: 480-412-6336    Fax: 480-412-8013
Naresh Reddivalla, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1432 S Dobson Rd Ste 107, Mesa, AZ 85202
Phone: 480-412-4100    
Dale W Guthrie, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4540 E Baseline Rd, Suite 108, Mesa, AZ 85206
Phone: 480-892-3880    Fax: 480-545-4551
Dr. Leno Mammen Thomas, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1432 S Dobson Rd Ste 506, Mesa, AZ 85202
Phone: 480-412-6430    

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