Benjamin Thomas Gandesbery, MD in Tuba City, AZ

Benjamin Thomas Gandesbery, MD is a medicare enrolled "Internal Medicine" physician in Tuba City, Arizona. His current practice location is 167 North Main St, Tuba City, Arizona. You can reach out to his office (for appointments etc.) via phone at (866) 976-5941.

Benjamin Thomas Gandesbery is licensed to practice in Missouri (license number 2019021202) 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 1447810544.

Contact Information

	Benjamin Thomas Gandesbery, MD
	167 North Main St, Tuba City, AZ 86045-0600
	(866) 976-5941
	Not Available

Map and Direction

Physician's Profile

Full Name	Benjamin Thomas Gandesbery
Gender	Male
Speciality	Internal Medicine
Location	167 North Main St, Tuba City, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447810544
Provider Enumeration Date: 06/20/2019
Last Update Date: 09/19/2022

Medicare PECOS Information:

PECOS PAC ID: 5294061412
Enrollment ID: I20221010000757

Medical Identifiers

Medical identifiers for Benjamin Thomas Gandesbery such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447810544	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	2019021202 (Missouri)	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. Benjamin Thomas Gandesbery allows following entities to bill medicare on his behalf.

Entity Name	Tuba City Regional Health Care Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107

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. Benjamin Thomas Gandesbery 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
Benjamin Thomas Gandesbery, MD Po Box 600, Tuba City, AZ 86045-0600 Ph: (866) 976-5941	Benjamin Thomas Gandesbery, MD 167 North Main St, Tuba City, AZ 86045-0600 Ph: (866) 976-5941

Reviews and Comments

Internal Medicine Doctors in Tuba City, AZ

Dr. Lena Wong, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 167 North Main Streer, Tuba City, AZ 86045 Phone: 928-283-2063
Karen Yin-chieh Jong, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 167 N Main St, Tuba City, AZ 86045 Phone: 928-283-2501
Henry John Leonard Van Dyk, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 167 N Main St, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Dr. Frank Eckhard Dalichow, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Bernice Q. Ly, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Dr. Yuriy Y Vinokur, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501

Benjamin Thomas Gandesbery, MD - Medicare Internal Medicine in Tuba City, AZ