Dr Dezbaa Altaalkii Damon-mallette, DMD in Tohatchi, NM

Dr Dezbaa Altaalkii Damon-mallette, DMD is a medicare enrolled "Dentist" provider in Tohatchi, New Mexico. Her current practice location is 07 Chooshgai Dr., Tohatchi, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 733-8440.

Dr Dezbaa Altaalkii Damon-mallette is licensed to practice in New Mexico (license number DD4027) 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 1598958415.

Contact Information

	Dr Dezbaa Altaalkii Damon-mallette, DMD
	07 Chooshgai Dr., Tohatchi, NM 87325
	(505) 733-8440
	(505) 733-2384

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Dezbaa Altaalkii Damon-mallette
Gender	Female
Speciality	Dentist
Location	07 Chooshgai Dr., Tohatchi, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598958415
Provider Enumeration Date: 08/23/2007
Last Update Date: 11/17/2020

Medicare PECOS Information:

PECOS PAC ID: 2668774357
Enrollment ID: I20201209002571

Medical Identifiers

Medical identifiers for Dr Dezbaa Altaalkii Damon-mallette such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598958415	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	D008231 (Arizona)	Secondary
122300000X	Dentist	DD4027 (New Mexico)	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. Dr Dezbaa Altaalkii Damon-mallette allows following entities to bill medicare on her behalf.

Entity Name	Dhhs,phs,naihs Gallup Indian Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840

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. Dr Dezbaa Altaalkii Damon-mallette 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
Dr Dezbaa Altaalkii Damon-mallette, DMD P.o. Box 3367, Gallup, NM 87305 Ph: (505) 444-0329	Dr Dezbaa Altaalkii Damon-mallette, DMD 07 Chooshgai Dr., Tohatchi, NM 87325 Ph: (505) 733-8440

Reviews and Comments

Dentist in Tohatchi, NM

Emily H Nieto, DMD, MPH Dentist Medicare: Medicare Enrolled Practice Location: 007 Choosgai Drive, Tohatchi, NM 87325 Phone: 505-733-8400 Fax: 575-763-9154
Dr. James Jenson Sidd Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 007 Choosgai Drive, Tohatchi Health Center, Tohatchi, NM 87325 Phone: 505-733-8440 Fax: 505-722-1565
John Jerome Fagel, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 07 Choos Gai Dr, Tohatchi, NM 87325 Phone: 505-733-8100
David Ryan Mcguire, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 007 Choosgai Drive, Tohatchi, NM 87325 Phone: 505-733-8400

Dr Dezbaa Altaalkii Damon-mallette, DMD - Medicare Dentist in Tohatchi, NM