Luis Gamarra, is a medicare enrolled "Dentist" provider in Dexter, Maine. His current practice location is
23 Main St, Dexter, Maine. You can reach out to his office (for appointments etc.) via phone at
(801) 214-5852.
Luis Gamarra is licensed to practice in Maine (license number DEN5076) 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 1205572120.
Healthcare Provider's Profile
| Full Name | Luis Gamarra |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | 23 Main St, Dexter, Maine |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205572120
- Provider Enumeration Date: 05/12/2022
- Last Update Date: 11/23/2025
Medicare PECOS Information:
- PECOS PAC ID: 6204378383
- Enrollment ID: I20240604002987
Medical Identifiers
Medical identifiers for Luis Gamarra such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1205572120 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 122300000X | Dentist | DEN5076 (Maine) | 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. Luis Gamarra allows following entities to bill medicare on his behalf.
| Entity Name | Katahdin Valley Health Center |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1376618546 PECOS PAC ID: 4880659903 Enrollment ID: O20041130000688 |
|---|
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. Luis Gamarra 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 |
Luis Gamarra, 2 Stone Ridge Dr, Waterville, ME 04901-4110 Ph: (801) 214-5852 | Luis Gamarra, 23 Main St, Dexter, ME 04930-1374 Ph: (801) 214-5852 |
Reviews and Comments