Dr Gary Alan Wilson, DDS in Polacca, AZ - Medicare Dentist Provider

Dr Gary Alan Wilson, DDS is a medicare enrolled "Dentist - General Practice" provider in Polacca, Arizona. His current practice location is Highway 264, Milepost 388, Polacca, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 737-6000.

Dr Gary Alan Wilson is licensed to practice in Colorado (license number 104357) 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 1285635946.

Contact Information

	Dr Gary Alan Wilson, DDS
	Highway 264, Milepost 388, Polacca, AZ 86042-6042
	(928) 737-6000
	(928) 737-6168

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Gary Alan Wilson
Gender	Male
Speciality	Dentist - General Practice
Location	Highway 264, Milepost 388, Polacca, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285635946
Provider Enumeration Date: 08/03/2005
Last Update Date: 08/08/2012

Medicare PECOS Information:

PECOS PAC ID: 8921166653
Enrollment ID: I20081023000604

Medical Identifiers

Medical identifiers for Dr Gary Alan Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285635946	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	104357 (Colorado)	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 Gary Alan Wilson allows following entities to bill medicare on his behalf.

Entity Name	Dhhs Ihs Phoenix Area
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356628028 PECOS PAC ID: 9436325420 Enrollment ID: O20120222000148

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 Gary Alan Wilson 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 Gary Alan Wilson, DDS Highway 264, Mp 388, Polacca, AZ 86042 Ph: (928) 737-6000	Dr Gary Alan Wilson, DDS Highway 264, Milepost 388, Polacca, AZ 86042-6042 Ph: (928) 737-6000

Reviews and Comments

Dentist in Polacca, AZ

Dr. Claudia Gail Von Hendricks, DDS Dentist Medicare: Medicare Enrolled Practice Location: Hopi Health Care Center, Hwy 264 Mm 388, Polacca, AZ 86042 Phone: 928-737-6160 Fax: 928-737-6168
Dr. Gregory Stephen Sikora, D.M.D., M.B.A. Dentist Medicare: Not Enrolled in Medicare Practice Location: State Hwy 264, Mile Marker 388, Polacca, AZ 86042 Phone: 928-737-6165
Nazila Mirza Bagheri, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: Mp 388 Highway 264, Polacca, AZ 86042 Phone: 928-737-6165
Dr. Mary Beth Johnson, DDS Dentist Medicare: Medicare Enrolled Practice Location: Hwy 264, Mp 388, Polacca, AZ 86042 Phone: 928-737-6162
Dr. Margaret Ann Quiller, DDS Dentist Medicare: Medicare Enrolled Practice Location: Highway 264, Mp 388, Polacca, AZ 86042 Phone: 928-737-6000 Fax: 928-737-6168
Dr. Victor M. Mok, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Highway 264, Mp 388, Polacca, AZ 86042 Phone: 928-737-6000 Fax: 505-722-1565

Dr Gary Alan Wilson, DDS - Medicare Dentist in Polacca, AZ