Dr Gary Lee Balzano, DDS is a medicare enrolled "Dentist - General Practice" provider in Tucumcari, New Mexico. His current practice location is
305 E Washington Ave, Tucumcari, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 461-2400.
Dr Gary Lee Balzano is licensed to practice in New Mexico (license number 1392) 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 1487738381.
Healthcare Provider's Profile
| Full Name | Dr Gary Lee Balzano |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 305 E Washington Ave, Tucumcari, New Mexico |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487738381
- Provider Enumeration Date: 10/25/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4385933928
- Enrollment ID: I20160520000564
Medical Identifiers
Medical identifiers for Dr Gary Lee Balzano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487738381 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223G0001X | Dentist - General Practice | 1392 (New Mexico) | Primary |
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 Lee Balzano 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 Gary Lee Balzano, DDS 305 E Washington Ave, Tucumcari, NM 88401-3873 Ph: (505) 461-2400 | Dr Gary Lee Balzano, DDS 305 E Washington Ave, Tucumcari, NM 88401-3873 Ph: (505) 461-2400 |
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