Dr Edward D Gonzales, DDS in Sisseton, SD - Medicare Dentist Provider

Dr Edward D Gonzales, DDS is a medicare enrolled "Dentist - Dental Public Health" provider in Sisseton, South Dakota. His current practice location is 100 Lake Traverse Dr, Sisseton, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 742-3678.

Dr Edward D Gonzales is licensed to practice in California (license number 033770) 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 1841372471.

Contact Information

	Dr Edward D Gonzales, DDS
	100 Lake Traverse Dr, Sisseton, SD 57262-0189
	(605) 742-3678
	(605) 742-3887

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Edward D Gonzales
Gender	Male
Speciality	Dentist - Dental Public Health
Location	100 Lake Traverse Dr, Sisseton, South Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841372471
Provider Enumeration Date: 10/20/2006
Last Update Date: 12/23/2011

Medicare PECOS Information:

PECOS PAC ID: 1759682974
Enrollment ID: I20151214000284

Medical Identifiers

Medical identifiers for Dr Edward D Gonzales such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841372471	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223D0001X	Dentist - Dental Public Health	033770 (California)	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 Edward D Gonzales allows following entities to bill medicare on his behalf.

Entity Name	Woodrow Wilson Keeble Memorial Health Care Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366471666 PECOS PAC ID: 1850295940 Enrollment ID: O20031120000810

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 Edward D Gonzales 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 Edward D Gonzales, DDS 1406 15th St N, Wahpeton, ND 58075-3519 Ph: (701) 642-8121	Dr Edward D Gonzales, DDS 100 Lake Traverse Dr, Sisseton, SD 57262-0189 Ph: (605) 742-3678

Reviews and Comments

Dentist in Sisseton, SD

David Rempel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 Fax: 605-742-0182
Dr. Kiafar Haghkerdar, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606
Dr. Edward Allen Chaney, DDS Dentist Medicare: Medicare Enrolled Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606
Dr. Walter W Casper, DMD Dentist Medicare: Medicare Enrolled Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606
Dr. Mitchel Jon Bernstein, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-742-3662
Dr. John Thomas Zimmer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 Lake Traverse Drive, Sisseton, SD 57262 Phone: 605-742-3676 Fax: 605-742-3887
Dr. Kimberly Ann Moore, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606

Dr Edward D Gonzales, DDS - Medicare Dentist in Sisseton, SD