PAUL EDWIN PUGSLEY M.D.
Accepted Insurance for NPI 1124472931
Emergency Medicine in Phoenix, AZ

Q: What managed care network types are accepted by this provider?

PAUL EDWIN PUGSLEY M.D. is enrolled across the following managed care network types: HMO. HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.

Quality Rating: 93.37 out of 100 score

NPI Status: Active since April 18, 2016

Contact Information

2601 E ROOSEVELT ST
PHOENIX, AZ
ZIP 85008
Phone: (602) 344-5011

Get Directions

Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with PAUL EDWIN PUGSLEY M.D., a practicing emergency medicine professional in Phoenix, AZ. Compiled from official data resources, this interface is designed to help you determine if your policy is accepted at this practice location. Currently, the provider is listed across 21 individual coverage options managed by medical networks, including networks like Antidote Health Plan of Arizona, Inc., and Imperial Insurance Companies, Inc.. Please use the filtering dashboard below to search for your specific plan by name, narrow results by a single carrier corporate network, or toggle between plan types (HMO, PPO, EPO) to check your status before coordinating an upcoming clinic visit.

Search Insurance Plans

Filter By Insurance Company

Fitler by Network Type

Antidote Health Plan of Arizona, Inc.

Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0600010

Bronze Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0600011

Bronze Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0610010

Bronze Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0610011

Bronze Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0590010

Catastrophic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0590050

Gold Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0600030

Gold Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0600031

Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0610030

Gold Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0610031

Gold Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0590030

Silver Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0600020

Silver Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0600021

Silver Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0610020

Silver Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0610021

Silver Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0590020

Imperial Insurance Companies, Inc.

Imperial Preferred Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

85533AZ0020002

Imperial Preferred Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

85533AZ0020001

Imperial Standard Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARD Tier

Accepted Plan ID Variations

85533AZ0010001

Imperial Standard Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARD Tier

Accepted Plan ID Variations

85533AZ0010003

Imperial Standard Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARD Tier

Accepted Plan ID Variations

85533AZ0010002

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does PAUL EDWIN PUGSLEY M.D. accept?

This provider accepts health insurance plans managed by the following insurance companies: Antidote Health Plan of Arizona, Inc., Imperial Insurance Companies, Inc.. You can filter specific policies or search for unique plans using the open dashboard controls located above.

Is this provider enrolled to accept Medicare?

Yes, registry files confirm this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. Additionally, the provider is officially enrolled in the PECOS program (Provider Enrollment, Chain, and Ownership System), verifying that they are certified to order, refer, or prescribe services to Medicare beneficiaries.

What managed care network types are accepted by this provider?

PAUL EDWIN PUGSLEY M.D. is enrolled across the following managed care network types: HMO.

HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.