Dr John Phillip Gonzales, DDS - Medicare Dentist in Cass Lake, MN

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Dr John Phillip Gonzales, DDS is a medicare enrolled "Dentist - General Practice" provider in Cass Lake, Minnesota. His current practice location is 425 7th St Nw, Cass Lake, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 335-3230.

Dr John Phillip Gonzales is licensed to practice in North Dakota (license number 1859) 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 1477679876.

Contact Information

Dr John Phillip Gonzales, DDS
425 7th St Nw,
Cass Lake, MN 56633-3360
(218) 335-3230
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr John Phillip Gonzales
GenderMale
SpecialityDentist - General Practice
Location425 7th St Nw, Cass Lake, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477679876
  • Provider Enumeration Date: 03/21/2007
  • Last Update Date: 06/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2769797042
  • Enrollment ID: I20201124003051

Medical Identifiers

Medical identifiers for Dr John Phillip Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477679876NPI-NPPES
041327MedicaidND
949039OtherNDDENTAL SERVICE CORP.
000001859NDOtherNDDELTA DENTAL USA
23946OtherNDBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 1859 (North Dakota)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 John Phillip Gonzales allows following entities to bill medicare on his behalf.
Entity NameDepartment Of Health & Human Services Phs Ihs
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194754382
PECOS PAC ID: 7517879794
Enrollment ID: O20031105000353
Entity NameDhhs Ihs Phoenix Area
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427335140
PECOS PAC ID: 2668649567
Enrollment ID: O20120117000781

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 John Phillip Gonzales 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 John Phillip Gonzales, DDS
425 7th St Nw,
Cass Lake, MN 56633-3360

Ph: () -		Dr John Phillip Gonzales, DDS
425 7th St Nw,
Cass Lake, MN 56633-3360

Ph: (218) 335-3230

Reviews and Comments


Dentist in Cass Lake, MN

Dr. Jadilyn Nguyen Grittner, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 425 7th St Nw, Cass Lake, MN 56633
Phone: 218-335-3414    Fax: 218-335-3368
Mark A Ellis, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 425 7th St Nw, Cass Lake, MN 56633
Phone: 218-335-3230    
Dr. Frances Anne Olson, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 425 7th St Nw, Cass Lake Ihs Hospital, Cass Lake, MN 56633
Phone: 218-335-3230    Fax: 218-335-3368
Dr. Robert Mork, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 425 7th St Nw, Cass Lake, MN 56633
Phone: 218-335-3200    
Mrs. Brandy Leeann Larson, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 425 7th St Nw, Cass Lake Indian Hospital, Cass Lake, MN 56633
Phone: 218-335-3234    Fax: 218-335-3368
Laura Stewart, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 425 7th St Nw, Cass Lake, MN 56633
Phone: 218-335-3200    

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.