Patient Information

Directions to Our Surprise Office:
From Highway 60 or Grand avenue, continue west. Take a left onto Reems Road, and then take a right onto West Mountain View Boulevard. We are located on the right side of the street at the northwest corner of West Mountain View Boulevard and Colonnade Way. The address is:

14800 W. Mountain View Blvd.
Suite 160
Surprise, AZ 85374

Directions to Our Peoria Office:
From the 101 turn west onto W. Thunderbird Road. Then turn left and head south onto N. 94th Drive. Go down about 2 blocks and the office is on the right in Plaza Del Rio Medical Center V. The address is:

13090 N. 94th Drive
Suite 101
Peoria, AZ 85381

New Patients: Please arrive 15 minutes prior to your appointment time. You will need a photo ID and your insurance card. You can complete new patient forms online, or bring a completed copy of the new patient enrollment packet with you at the time of your appointment. You can visit our patient portal online as well.

NOTICE OF PRIVACY POLICY FOR PROTECTED HEALTH INFORMATION (PHI)

Late for Appointments or Failure to Cancel/No Shows: If you arrive more than 15 minutes after your scheduled appointment time, we reserve the right to reschedule your appointment. If you need to reschedule or cancel your appointment please give us at least 48 hours notice. Failure to give us proper notification may result in a $50 charge for general appointments or $100 for surgical appointments.

Mohs Surgery Patients: Download our helpful guide, Preparing for Mohs Surgery.

Payment: We accept Cash, Checks, Visa, MasterCard, and American Express.

Copays: Copays are due at time of patient check-in for your appointment.

Deductible/Co-Insurance: You will need to pay your estimated deductible/co-insurance prior to any procedures.

Self Pay: All services must be paid in full at the time of service.

Returned Checks: For every returned check a $30.00 fee will be charged and this payment must be done in cash or by credit card.

Collections: If your account is placed in collection status and assigned to a collection agency, a 30-40% collection fee will be added, and any balance must be paid in full before additional appointments are scheduled.

Biopsy Specimens or other Lab Samples: These are sent to labs outside of our office. Thus your insurance will receive a separate bill from that independent company, and you will be responsible for that service according to requirements of your insurance.

Medical Records Requests: A signed Medical Records Release form and a $25.00 fee will be required in order to cover the costs of providing copies of medical records and/or completing non-care related information requests. This fee does not apply to medically necessary requests for your ongoing medical care.

Insurances We Currently Accept:

  • AARP
  • Aetna (Excludes Value Plans)
  • AHCCCS Direct
  • Ameriben
  • APIPA
  • Arizona Foundation for Medical Care
  • Banner Health Network
  • BCBS Arizona
  • BCBS Medicare Advantage
  • Cigna (Excludes Connect Network and Local Plus)
  • Cigna Medicare Advantage
  • Coventry Health Care
  • Freedom Life
  • Golden Rule
  • Health Net (Excludes Ambetter)
  • HMA Inc/AHI
  • Humana
  • Liberty HealthShare
  • Mail Handler’s Benefit Plan
  • Mayo Medica
  • Medicare (Noridian)
  • Medicare Railroad
  • Multiplan
  • Mutual of Omaha
  • Optum Care Network
  • Private Health Care Systems (PHCS)
  • Southwest Service Administrators
  • United Healthcare
Back to Top Skip to content