Dr Laurent Ganry, is a medicare enrolled "Oral & Maxillofacial Surgery" provider in New Hyde Park, New York. His current practice location is
27005 76th Ave, New Hyde Park, New York. You can reach out to his office (for appointments etc.) via phone at
(646) 269-8637.
Dr Laurent Ganry is licensed to practice in New York (license number 329411) 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 1275054785.
Healthcare Provider's Profile
| Full Name | Dr Laurent Ganry |
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| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 27005 76th Ave, New Hyde Park, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1275054785
- Provider Enumeration Date: 07/06/2017
- Last Update Date: 11/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 9830464254
- Enrollment ID: I20241226000769
Medical Identifiers
Medical identifiers for Dr Laurent Ganry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275054785 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 329411 (New York) | Secondary |
| 207Y00000X | Otolaryngology | 329411 (New York) | Secondary |
| 207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 329411 (New York) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 329411 (New York) | 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 Laurent Ganry allows following entities to bill medicare on his behalf.
| Entity Name | Black Hall Dental Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356091516
PECOS PAC ID: 6901283308
Enrollment ID: O20220524000597 |
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| Entity Name | White Hall Dental, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376268821
PECOS PAC ID: 2567820137
Enrollment ID: O20230614002923 |
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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 Laurent Ganry 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 |
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Dr Laurent Ganry,
341 Sixth Ave,
Pelham, NY 10803-1201
Ph: (646) 269-8637 | Dr Laurent Ganry,
27005 76th Ave,
New Hyde Park, NY 11040-1402
Ph: (646) 269-8637 |
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