Dr Gerald Lawrence Muncy Sr, DDS is a medicare enrolled "Dentist" provider in Morenci, Arizona. His current practice location is
Morenci Shopping Center, Suite11, Morenci, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 865-2332.
Dr Gerald Lawrence Muncy Sr is licensed to practice in Arizona (license number 1177) 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 1205997301.
Healthcare Provider's Profile
Full Name | Dr Gerald Lawrence Muncy Sr |
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Gender | Male |
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Speciality | Dentist |
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Location | Morenci Shopping Center, Morenci, Arizona |
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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: 1205997301
- Provider Enumeration Date: 12/12/2006
- Last Update Date: 12/30/2015
Medicare PECOS Information:
- PECOS PAC ID: 7911200944
- Enrollment ID: I20160125001793
Medical Identifiers
Medical identifiers for Dr Gerald Lawrence Muncy Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205997301 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 1177 (Arizona) | 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 Gerald Lawrence Muncy Sr 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 Gerald Lawrence Muncy Sr, DDS Po Box 99, Morenci Shopping Plaza Suite 11, Morenci, AZ 85540-0099 Ph: (928) 865-2332 | Dr Gerald Lawrence Muncy Sr, DDS Morenci Shopping Center, Suite11, Morenci, AZ 85540 Ph: (928) 865-2332 |
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