Dr Gary Alan Wilson, DDS - Medicare Dentist in Polacca, AZ

Dr Gary Alan Wilson, DDS is a medicare enrolled "Dentist - General Practice" provider in Polacca, Arizona. His current practice location is Highway 264, Milepost 388, Polacca, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 737-6000.

Dr Gary Alan Wilson is licensed to practice in Colorado (license number 104357) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1285635946.

Contact Information

Dr Gary Alan Wilson, DDS
Highway 264, Milepost 388,
Polacca, AZ 86042-6042
(928) 737-6000
(928) 737-6168

Map and Direction




Healthcare Provider's Profile

Full NameDr Gary Alan Wilson
GenderMale
SpecialityDentist - General Practice
LocationHighway 264, Milepost 388, Polacca, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285635946
  • Provider Enumeration Date: 08/03/2005
  • Last Update Date: 08/08/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8921166653
  • Enrollment ID: I20081023000604

Medical Identifiers

Medical identifiers for Dr Gary Alan Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285635946NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 104357 (Colorado)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 Gary Alan Wilson allows following entities to bill medicare on his behalf.
Entity NameDhhs Ihs Phoenix Area
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356628028
PECOS PAC ID: 9436325420
Enrollment ID: O20120222000148

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 Gary Alan Wilson 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
Dr Gary Alan Wilson, DDS
Highway 264, Mp 388,
Polacca, AZ 86042

Ph: (928) 737-6000
Dr Gary Alan Wilson, DDS
Highway 264, Milepost 388,
Polacca, AZ 86042-6042

Ph: (928) 737-6000

Reviews and Comments


Dentist in Polacca, AZ

Dr. Claudia Gail Von Hendricks, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: Hopi Health Care Center, Hwy 264 Mm 388, Polacca, AZ 86042
Phone: 928-737-6160    Fax: 928-737-6168
Dr. Gregory Stephen Sikora, D.M.D., M.B.A.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: State Hwy 264, Mile Marker 388, Polacca, AZ 86042
Phone: 928-737-6165    
Nazila Mirza Bagheri, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: Mp 388 Highway 264, Polacca, AZ 86042
Phone: 928-737-6165    
Dr. Mary Beth Johnson, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: Hwy 264, Mp 388, Polacca, AZ 86042
Phone: 928-737-6162    
Dr. Margaret Ann Quiller, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: Highway 264, Mp 388, Polacca, AZ 86042
Phone: 928-737-6000    Fax: 928-737-6168
Dr. Victor M. Mok, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: Highway 264, Mp 388, Polacca, AZ 86042
Phone: 928-737-6000    Fax: 505-722-1565

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.