Eddie Leon Gaines, MD is a medicare enrolled "Allergy & Immunology - Allergy" physician in Anthem, Arizona. His current practice location is
42145 N Fairgreen Ct, Anthem, Arizona. You can reach out to his office (for appointments etc.) via phone at
(575) 405-7697.
Eddie Leon Gaines is licensed to practice in New Mexico (license number 94250) 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 1942268156.
Physician's Profile
| Full Name | Eddie Leon Gaines |
|---|
| Gender | Male |
|---|
| Speciality | Allergy & Immunology - Allergy |
|---|
| Location | 42145 N Fairgreen Ct, Anthem, Arizona |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1942268156
- Provider Enumeration Date: 05/04/2006
- Last Update Date: 03/27/2019
Medicare PECOS Information:
- PECOS PAC ID: 5395646061
- Enrollment ID: I20040121000966
Medical Identifiers
Medical identifiers for Eddie Leon Gaines such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942268156 | NPI | - | NPPES |
| 26189 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 94250 (New Mexico) | Secondary |
| 207KA0200X | Allergy & Immunology - Allergy | 94250 (New Mexico) | 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. Eddie Leon Gaines allows following entities to bill medicare on his behalf.
| Entity Name | Pace Management Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1306942958
PECOS PAC ID: 8426959198
Enrollment ID: O20040115000931 |
|---|
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. Eddie Leon Gaines 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 |
|---|
Eddie Leon Gaines, MD
3800 E Lohman Ave,
Las Cruces, NM 88011-8273
Ph: (575) 522-6500 | Eddie Leon Gaines, MD
42145 N Fairgreen Ct,
Anthem, AZ 85086-1066
Ph: (575) 405-7697 |
Reviews and Comments