Eric Deshazer, DDS in Lincoln, NE - Medicare Dentist Provider

Eric Deshazer, DDS is a medicare enrolled "Dentist" provider in Lincoln, Nebraska. His current practice location is 5500 S 56th St, Lincoln, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 423-5055.

Eric Deshazer is licensed to practice in Nebraska (license number 6453) 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 1619067733.

Contact Information

	Eric Deshazer, DDS
	5500 S 56th St, Lincoln, NE 68516-1878
	(402) 423-5055
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Eric Deshazer
Gender	Male
Speciality	Dentist
Location	5500 S 56th St, Lincoln, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619067733
Provider Enumeration Date: 10/13/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6608189477
Enrollment ID: I20201208001643

Medical Identifiers

Medical identifiers for Eric Deshazer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619067733	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	6453 (Nebraska)	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. Eric Deshazer allows following entities to bill medicare on his behalf.

Entity Name	Gracemed Health Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184691693 PECOS PAC ID: 9830098185 Enrollment ID: O20040106000520

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. Eric Deshazer 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
Eric Deshazer, DDS 5500 S 56th St, Lincoln, NE 68516-1878 Ph: (402) 423-5055	Eric Deshazer, DDS 5500 S 56th St, Lincoln, NE 68516-1878 Ph: (402) 423-5055

Reviews and Comments

Dentist in Lincoln, NE

Bongok Kim, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3885 Holdrege St., Lincoln, NE 68583 Phone: 402-472-8900
Dr. Grace Moore, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4000 E Campus Loop S, Lincoln, NE 68583 Phone: 402-472-1333
Dr. Mark Alan Fischer, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4000 E Campus Loop S, Lincoln, NE 68583 Phone: 402-472-1333
Dr. Michael Stephen Kotopka, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 6040 Village Dr, Lincoln, NE 68516 Phone: 402-420-2222 Fax: 402-420-7045
Dr. Tom J Milius, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1140 N 83rd St, Lincoln, NE 68505 Phone: 402-483-4322 Fax: 402-483-0439
Dr. Kelsey Elizabeth Buckley, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1919 S 40th St Ste 103, Lincoln, NE 68506 Phone: 402-488-0959 Fax: 402-488-2169
Dr. Rusty O Lewis, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8330 Dawson Creek Bay, Lincoln, NE 68505 Phone: 402-325-6056 Fax: 402-325-6058

Eric Deshazer, DDS - Medicare Dentist in Lincoln, NE