Amanda Gerlach, in Fort Worth, TX - Medicare Dentist Provider

Amanda Gerlach, is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Fort Worth, Texas. Her current practice location is 3550 Hulen St Ste C, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 476-3503.

Amanda Gerlach is licensed to practice in Utah (license number 13342080-9921) 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 1154928943.

Contact Information

	Amanda Gerlach,
	3550 Hulen St Ste C, Fort Worth, TX 76107-6885
	(817) 476-3503
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda Gerlach
Gender	Female
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	3550 Hulen St Ste C, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154928943
Provider Enumeration Date: 10/05/2020
Last Update Date: 08/23/2023

Medicare PECOS Information:

PECOS PAC ID: 5597121285
Enrollment ID: I20230523001324

Medical Identifiers

Medical identifiers for Amanda Gerlach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154928943	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223X0400X	Dentist - Orthodontics And Dentofacial Orthopedics	36221 (Texas)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	13342080-9921 (Utah)	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. Amanda Gerlach allows following entities to bill medicare on her behalf.

Entity Name	University Of Utah Dental Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346633203 PECOS PAC ID: 0244542595 Enrollment ID: O20150630001141

Entity Name	University Of Utah Pediatric Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371

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. Amanda Gerlach 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 Address	Practice Location Address
Amanda Gerlach, 6454 Living Pl Apt 404, Pittsburgh, PA 15206-3944 Ph: (480) 467-9026	Amanda Gerlach, 3550 Hulen St Ste C, Fort Worth, TX 76107-6885 Ph: (817) 476-3503

Reviews and Comments

Dentist in Fort Worth, TX

Richard Irwin Marks, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 105 Bellvue Dr, Fort Worth, TX 76134 Phone: 817-293-2088 Fax: 817-293-8377
Miss Eunjin M Suh, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5416 Basswood Blvd, Fort Worth, TX 76137 Phone: 817-656-1215 Fax: 877-230-8349
Dr. Joshua Michael Corcran, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4833 S Hulen St Ste 101, Fort Worth, TX 76132 Phone: 817-294-4600
Dr. Michael D Cosgrove, DDS, PC Dentist Medicare: Not Enrolled in Medicare Practice Location: 1005 5th Ave, Fort Worth, TX 76104 Phone: 817-335-3555 Fax: 817-332-2955
Dr. Kevin M Altieri, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 5521 Bellaire Dr S, Suite202, Fort Worth, TX 76109 Phone: 817-294-5513
Mr. Royce Willard Reese Sr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8525 Boat Club Rd, Reese Dental At Lake Country, Pllc, Fort Worth, TX 76179 Phone: 817-500-5288 Fax: 817-500-5288
Earl Mitchell, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1511 E Berry St, Fort Worth, TX 76119 Phone: 817-924-7171

Amanda Gerlach, - Medicare Dentist in Fort Worth, TX