Dr Gordon H Davis, DMD,DMSC in Plattsburgh, NY

Dr Gordon H Davis, DMD,DMSC is a medicare enrolled "Dentist - Periodontics" provider in Plattsburgh, New York. His current practice location is 4161 Route 22, Plattsburgh, New York. You can reach out to his office (for appointments etc.) via phone at (518) 563-0040.

Dr Gordon H Davis is licensed to practice in New York (license number 047679-1) 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 1528096765.

Contact Information

	Dr Gordon H Davis, DMD,DMSC
	4161 Route 22, Plattsburgh, NY 12901-5883
	(518) 563-0040
	(518) 562-0632

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Gordon H Davis
Gender	Male
Speciality	Dentist - Periodontics
Location	4161 Route 22, Plattsburgh, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528096765
Provider Enumeration Date: 06/28/2006
Last Update Date: 04/29/2024

Medicare PECOS Information:

PECOS PAC ID: 7416005301
Enrollment ID: I20090504000157

Medical Identifiers

Medical identifiers for Dr Gordon H Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528096765	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0300X	Dentist - Periodontics	047679-1 (New York)	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 Gordon H Davis allows following entities to bill medicare on his behalf.

Entity Name	Adirondack Periodontics Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689816274 PECOS PAC ID: 0042368946 Enrollment ID: O20090504000177

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 Gordon H Davis 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 Gordon H Davis, DMD,DMSC 4161 Route 22, Plattsburgh, NY 12901-5883 Ph: (518) 563-0040	Dr Gordon H Davis, DMD,DMSC 4161 Route 22, Plattsburgh, NY 12901-5883 Ph: (518) 563-0040

Reviews and Comments

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Dr Gordon H Davis, DMD,DMSC - Medicare Dentist in Plattsburgh, NY