Dr Gary Lee Balzano, DDS is a
Dentist - General Practice based in Tucumcari, New Mexico. Dr Gary Lee Balzano is licensed to practice in New Mexico (license number 1392) and his current practice location is
305 E Washington Ave, Tucumcari, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 461-2400.
NPI number for Dr Gary Lee Balzano is 1487738381 and his current mailing address is 305 E Washington Ave, Tucumcari, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487738381.
Healthcare Provider's Profile
| Full Name | Dr Gary Lee Balzano |
|---|
| 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 | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487738381
- Provider Enumeration Date: 10/25/2006
- Last Update Date: 07/08/2007
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
NOT enrolled with medicare and thus cannot 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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