Mauro S Ganzon, MD in Boyd, TX - Medicare Family Practice

Mauro S Ganzon, MD is a medicare enrolled "Family Medicine" physician in Boyd, Texas. He went to University Of Texas Southwestern Medical School At Dallas and graduated in 2000 and has 24 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Wise Clinical Care Associates and his current practice location is 133 N Fm 730, #105, Boyd, Texas. You can reach out to his office (for appointments etc.) via phone at (940) 433-2151.

Mauro S Ganzon is licensed to practice in Texas (license number L4946) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1932165503.

Contact Information

	Mauro S Ganzon, MD
	133 N Fm 730, #105, Boyd, TX 76023-3084
	(940) 433-2151
	(940) 433-2366

Map and Direction

Physician's Profile

Full Name	Mauro S Ganzon
Gender	Male
Speciality	Family Practice
Experience	24 Years
Location	133 N Fm 730, Boyd, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mauro S Ganzon attended and graduated from University Of Texas Southwestern Medical School At Dallas in 2000

NPI Data:

NPI Number: 1932165503
Provider Enumeration Date: 04/24/2006
Last Update Date: 04/17/2019

Medicare PECOS Information:

PECOS PAC ID: 9436130523
Enrollment ID: I20040525001481

Medical Identifiers

Medical identifiers for Mauro S Ganzon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932165503	NPI	-	NPPES
164426204	Medicaid	TX
8CU824	Other	TX	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	L4946 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wise Regional Health System	Decatur, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wise Clinical Care Associates	6204988975	32

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. Mauro S Ganzon allows following entities to bill medicare on his behalf.

Entity Name	Wise Clinical Care Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679719801 PECOS PAC ID: 6204988975 Enrollment ID: O20090710000550

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. Mauro S Ganzon 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
Mauro S Ganzon, MD Po Box 2078, Decatur, TX 76234-6156 Ph: (940) 433-2151	Mauro S Ganzon, MD 133 N Fm 730, #105, Boyd, TX 76023-3084 Ph: (940) 433-2151

Mauro S Ganzon, MD - Medicare Family Practice in Boyd, TX