Dr Andrew Archibal Gutierrez, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Schofield Barrracks, Hawaii. His current practice location is
344 Heard Street, Building 556, Schofield Barracks, Hi, Schofield Barrracks, Hawaii. You can reach out to his office (for appointments etc.) via phone at
(808) 655-8800.
Dr Andrew Archibal Gutierrez is licensed to practice in Tennessee (license number 10643) 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 1023240009.
Healthcare Provider's Profile
| Full Name | Dr Andrew Archibal Gutierrez |
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| Gender | Male |
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| Speciality | Dentist - Oral And Maxillofacial Surgery |
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| Location | 344 Heard Street, Building 556, Schofield Barracks, Hi, Schofield Barrracks, Hawaii |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1023240009
- Provider Enumeration Date: 08/10/2009
- Last Update Date: 10/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 8820310451
- Enrollment ID: I20230707002641
Medical Identifiers
Medical identifiers for Dr Andrew Archibal Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023240009 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 122300000X | Dentist | DEN-10003 (Colorado) | Secondary |
| 1223G0001X | Dentist - General Practice | DEN-10003 (Colorado) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DEN-10003 (Colorado) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 10643 (Tennessee) | 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. Dr Andrew Archibal Gutierrez allows following entities to bill medicare on his behalf.
| Entity Name | Hawaii Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710945969
PECOS PAC ID: 7618880667
Enrollment ID: O20031106000625 |
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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 Andrew Archibal Gutierrez 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 |
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Dr Andrew Archibal Gutierrez, DDS
344 Heard Street, Building 556,
Schofield Barrracks, HI 96857
Ph: (808) 655-8800 | Dr Andrew Archibal Gutierrez, DDS
344 Heard Street, Building 556, Schofield Barracks, Hi,
Schofield Barrracks, HI 96857
Ph: (808) 655-8800 |
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