Dr Gretchen Gigi Gorman-lyden, DDS in Bolivia, NC

Dr Gretchen Gigi Gorman-lyden, DDS is a medicare enrolled "Dentist" provider in Bolivia, North Carolina. Her current practice location is 100 Brunswick Medical Center Pkwy Ne, Bolivia, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 253-9000.

Dr Gretchen Gigi Gorman-lyden is licensed to practice in North Carolina (license number 12579) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912122573.

Contact Information

	Dr Gretchen Gigi Gorman-lyden, DDS
	100 Brunswick Medical Center Pkwy Ne, Bolivia, NC 28422-1001
	(910) 253-9000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Gretchen Gigi Gorman-lyden
Gender	Female
Speciality	Dentist
Location	100 Brunswick Medical Center Pkwy Ne, Bolivia, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912122573
Provider Enumeration Date: 04/16/2007
Last Update Date: 02/07/2022

Medicare PECOS Information:

PECOS PAC ID: 5092053843
Enrollment ID: I20190220002996

Medical Identifiers

Medical identifiers for Dr Gretchen Gigi Gorman-lyden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912122573	NPI	-	NPPES
12579	Other	NC	NC STATE DENTAL LICENSE
043204	Other	NY	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	043204 (New York)	Secondary
122300000X	Dentist	12579 (North Carolina)	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 Gretchen Gigi Gorman-lyden allows following entities to bill medicare on her behalf.

Entity Name	East Carolina University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972551919 PECOS PAC ID: 0244143246 Enrollment ID: O20031106000400

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 Gretchen Gigi Gorman-lyden 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 Gretchen Gigi Gorman-lyden, DDS 1013 Trout Ln, Carolina Beach, NC 28428-6878 Ph: (585) 259-4637	Dr Gretchen Gigi Gorman-lyden, DDS 100 Brunswick Medical Center Pkwy Ne, Bolivia, NC 28422-1001 Ph: (910) 253-9000

Reviews and Comments

Dentist in Bolivia, NC

Neizel Songalia Durant, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2831 Midway Rd Se Ste 116, Bolivia, NC 28422 Phone: 910-408-4436
Andrei Hatara, Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 Brunswick Medical Center Pkwy Ne, Bolivia, NC 28422 Phone: 910-253-9000
Dr. Courtney Anne Strubin, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3071 Southport Supply Rd Se, Bolivia, NC 28422 Phone: 910-933-2408
Cecilia Liu, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3071 Southport Supply Rd Se, Bolivia, NC 28422 Phone: 910-253-0000
Dr. Craig S Shapiro, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2831 Midway Rd Se Ste 116, Bolivia, NC 28422 Phone: 910-408-4436
Dr. Sabrina Rohanie Officer, DMD Dentist Medicare: Medicare Enrolled Practice Location: 100 Brunswick Medical Center Pkwy Ne, Bolivia, NC 28422 Phone: 910-253-9000

Dr Gretchen Gigi Gorman-lyden, DDS - Medicare Dentist in Bolivia, NC