Julastene Dyer-moore, DDS in Pecos, NM - Medicare Dentist Provider

Julastene Dyer-moore, DDS is a medicare enrolled "Dentist - General Practice" provider in Pecos, New Mexico. Her current practice location is 199 Highway 50, Pecos, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 757-6666.

Julastene Dyer-moore is licensed to practice in New Mexico (license number DD4171) 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 1750671954.

Contact Information

	Julastene Dyer-moore, DDS
	199 Highway 50, Pecos, NM 87552
	(505) 757-6666
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Julastene Dyer-moore
Gender	Female
Speciality	Dentist - General Practice
Location	199 Highway 50, Pecos, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750671954
Provider Enumeration Date: 04/10/2011
Last Update Date: 12/12/2019

Medicare PECOS Information:

PECOS PAC ID: 3577860071
Enrollment ID: I20200103001296

Medical Identifiers

Medical identifiers for Julastene Dyer-moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750671954	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DEN10751 (Colorado)	Secondary
122300000X	Dentist	DD4171 (New Mexico)	Secondary
1223G0001X	Dentist - General Practice	DD4171 (New Mexico)	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. Julastene Dyer-moore allows following entities to bill medicare on her behalf.

Entity Name	Presbyterian Medical Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871505032 PECOS PAC ID: 2062324684 Enrollment ID: O20031103000414

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. Julastene Dyer-moore 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
Julastene Dyer-moore, DDS Po Box 710, Pecos, NM 87552-0710 Ph: (505) 757-6666	Julastene Dyer-moore, DDS 199 Highway 50, Pecos, NM 87552 Ph: (505) 757-6666

Reviews and Comments

Dentist in Pecos, NM

Claudia Quan, DDS Dentist Medicare: Medicare Enrolled Practice Location: 199 Highway 50, Pecos, NM 87552 Phone: 505-757-6482
Daniel Keith Evans, DDS Dentist Medicare: Medicare Enrolled Practice Location: 199 Hwy 50, Pecos, NM 87552 Phone: 505-757-6666 Fax: 505-757-2700
Richard C Peters, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 199 Hwy 50, Pecos, NM 87552 Phone: 505-757-6666 Fax: 505-757-2700

Julastene Dyer-moore, DDS - Medicare Dentist in Pecos, NM