Dr Carissa Marie Gill, DDS is a
Dentist - General Practice based in Anthony, Kansas. Dr Carissa Marie Gill is licensed to practice in Kansas (license number 60042) and her current practice location is
113 N Anthony Ave, Anthony, Kansas. She can be reached at her office (for appointments etc.) via phone at
(620) 842-3844.
NPI number for Dr Carissa Marie Gill is 1487616926 and her current mailing address is 113 N Anthony Ave, Anthony, Kansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487616926.
Healthcare Provider's Profile
Full Name | Dr Carissa Marie Gill |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 113 N Anthony Ave, Anthony, Kansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487616926
- Provider Enumeration Date: 04/03/2006
- Last Update Date: 08/09/2012
Medical Identifiers
Medical identifiers for Dr Carissa Marie Gill such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487616926 | NPI | - | NPPES |
116667 | Other | KS | BLUE CROSS BLUE SHIELD |
4087049504 | Medicaid | KS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 60042 (Kansas) | Primary |
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 Carissa Marie Gill is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Carissa Marie Gill, DDS 113 N Anthony Ave, Anthony, KS 67003-2007 Ph: (620) 842-3844 | Dr Carissa Marie Gill, DDS 113 N Anthony Ave, Anthony, KS 67003-2007 Ph: (620) 842-3844 |
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