Dr Gary Nelson Anderberg, DMD is a medicare enrolled "Dentist - General Practice" provider in Lisbon, Maryland. His current practice location is
16105 Frederick Rd, Lisbon, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 489-4900.
Dr Gary Nelson Anderberg is licensed to practice in Maryland (license number 6247) 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 1043320997.
Healthcare Provider's Profile
Full Name | Dr Gary Nelson Anderberg |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 16105 Frederick Rd, Lisbon, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043320997
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8820389372
- Enrollment ID: I20160614001279
Medical Identifiers
Medical identifiers for Dr Gary Nelson Anderberg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043320997 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 6247 (Maryland) | 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 Gary Nelson Anderberg 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 Nelson Anderberg, DMD 26140 Viewland Dr, Damascus, MD 20872-1231 Ph: (301) 253-4606 | Dr Gary Nelson Anderberg, DMD 16105 Frederick Rd, Lisbon, MD 21765 Ph: (410) 489-4900 |
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