Mark Wiatt, DDS in T Or C, NM - Medicare Dentist Provider

Mark Wiatt, DDS is a medicare enrolled "Dentist" provider in T Or C, New Mexico. His current practice location is 1960 N Date St, T Or C, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 267-3088.

Mark Wiatt is licensed to practice in New Mexico (license number DD-2602) 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 1801889209.

Contact Information

	Mark Wiatt, DDS
	1960 N Date St, T Or C, NM 87901-3701
	(505) 267-3088
	(505) 267-1747

Map and Direction

Healthcare Provider's Profile

Full Name	Mark Wiatt
Gender	Male
Speciality	Dentist
Location	1960 N Date St, T Or C, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801889209
Provider Enumeration Date: 08/31/2005
Last Update Date: 12/18/2007

Medicare PECOS Information:

PECOS PAC ID: 7315268232
Enrollment ID: I20150604000206

Medical Identifiers

Medical identifiers for Mark Wiatt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801889209	NPI	-	NPPES
92422071	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DD-2602 (New Mexico)	Primary

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. Mark Wiatt 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
Mark Wiatt, DDS 255 Hwy 187, Po Box 370, Hatch, NM 87937-0730 Ph: (505) 267-3088	Mark Wiatt, DDS 1960 N Date St, T Or C, NM 87901-3701 Ph: (505) 267-3088

Reviews and Comments

Dentist in T Or C, NM

Leroy Baca, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1960 N Date St, T Or C, NM 87901 Phone: 505-267-3088 Fax: 505-267-1747
Myrna L Policarpio, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1960 N Date St, T Or C, NM 87901 Phone: 575-894-7662 Fax: 575-894-7930

Mark Wiatt, DDS - Medicare Dentist in T Or C, NM