Dr John Phillip Gonzales, DDS in Whiteriver, AZ

Dr John Phillip Gonzales, DDS is a medicare enrolled "Dentist - General Practice" provider in Whiteriver, Arizona. His current practice location is 200 W. Hospital Drive, Whiteriver, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 338-4911.

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
	200 W. Hospital Drive, Whiteriver, AZ 85941
	(928) 338-4911
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr John Phillip Gonzales
Gender	Male
Speciality	Dentist - General Practice
Location	200 W. Hospital Drive, Whiteriver, Arizona
Accepts Medicare Assignments	Medicare 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: 03/20/2026

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.

Identifier	Type	State	Issuer
1477679876	NPI	-	NPPES
041327	Medicaid	ND
949039	Other	ND	DENTAL SERVICE CORP.
000001859ND	Other	ND	DELTA DENTAL USA
23946	Other	ND	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - 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 Name	Department Of Health & Human Services Phs Ihs
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194754382 PECOS PAC ID: 7517879794 Enrollment ID: O20031105000353

Entity Name	Dhhs Ihs Phoenix Area
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice Location Address
Dr John Phillip Gonzales, DDS 200 W. Hospital Drive, Whiteriver, AZ 85941 Ph: (928) 338-4911	Dr John Phillip Gonzales, DDS 200 W. Hospital Drive, Whiteriver, AZ 85941 Ph: (928) 338-4911

Reviews and Comments

Dentist in Whiteriver, AZ

Anh Ha, DDS Dentist Medicare: Medicare Enrolled Practice Location: 200 West Hospital Dr, Whiteriver, AZ 85941 Phone: 928-338-4911
Naomi C Roeder, DDS Dentist Medicare: Medicare Enrolled Practice Location: 200 W. Hospital Drive, Whiteriver, AZ 85941 Phone: 928-338-3615
Dr. Jonathan Douglas Evans, DDS Dentist Medicare: Medicare Enrolled Practice Location: 200 W Hospital Dr, Whiteriver, AZ 85941 Phone: 928-338-4911
Dr. Stuart Randolph Holmes, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 200 West Hospital Dr, Whiteriver, AZ 85941 Phone: 928-338-3615 Fax: 928-338-3522
Dr. Tammie Jayne Gibson, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 200 W. Hospital Drive, Whiteriver, AZ 85941 Phone: 928-338-3614

Dr John Phillip Gonzales, DDS - Medicare Dentist in Whiteriver, AZ