Dr Andrea Elenbaas, DMD in Gulfport, MS - Medicare Dentist Provider

Dr Andrea Elenbaas, DMD is a medicare enrolled "Dentist - Orofacial Pain" provider in Gulfport, Mississippi. Her current practice location is 370 Courthouse Rd Ste 103, Gulfport, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 203-1700.

Dr Andrea Elenbaas is licensed to practice in Mississippi (license number 2934-96) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922125947.

Contact Information

	Dr Andrea Elenbaas, DMD
	370 Courthouse Rd Ste 103, Gulfport, MS 39507-1889
	(228) 203-1700
	(228) 203-1770

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Andrea Elenbaas
Gender	Female
Speciality	Dentist - Orofacial Pain
Location	370 Courthouse Rd Ste 103, Gulfport, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922125947
Provider Enumeration Date: 03/23/2007
Last Update Date: 11/28/2023

Medicare PECOS Information:

PECOS PAC ID: 6406173939
Enrollment ID: I20231211001769

Medical Identifiers

Medical identifiers for Dr Andrea Elenbaas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922125947	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223X2210X	Dentist - Orofacial Pain	2934-96 (Mississippi)	Primary
1223G0001X	Dentist - General Practice	2934-96 (Mississippi)	Secondary

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. Dr Andrea Elenbaas allows following entities to bill medicare on her behalf.

Entity Name	Orofacial Pain, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710768643 PECOS PAC ID: 0749639102 Enrollment ID: O20231211001046

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. Dr Andrea Elenbaas 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
Dr Andrea Elenbaas, DMD 370 Courthouse Rd Ste 103, Gulfport, MS 39507-1889 Ph: (228) 203-1700	Dr Andrea Elenbaas, DMD 370 Courthouse Rd Ste 103, Gulfport, MS 39507-1889 Ph: (228) 203-1700

Reviews and Comments

Dentist in Gulfport, MS

Mr. Frederic Bertrand Dunn, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3016 21st St, Gulfport, MS 39501 Phone: 228-864-3096
Dr. Michael Owen Williams, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 424 Court House Road, Gulfport, MS 39507 Phone: 228-896-8333 Fax: 228-896-8335
Gunner Rhoden, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 9354 Us 49, Suite L, Gulfport, MS 39503 Phone: 228-206-1234
Dr. Mark D Stringer, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 520-a Courthouse Road, Gulfport, MS 39507 Phone: 228-896-6973 Fax: 228-897-3658
Brandy L Hyde, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 512 Cowan Rd, Gulfport, MS 39507 Phone: 228-896-7404 Fax: 228-896-6048
Reggie Harris Broom, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1635 E Pass Road, Gulfport, MS 39507 Phone: 228-896-5197 Fax: 228-896-5192
Timothy E Mccabe, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 512 Cowan Rd, Gulfport, MS 39507 Phone: 228-896-7404 Fax: 228-896-6048

Dr Andrea Elenbaas, DMD - Medicare Dentist in Gulfport, MS