Dr Krista Carol-ison Gorenchan, DDS is a medicare enrolled "Dentist - General Practice" provider in Spaulding, Michigan. Her current practice location is
N16088 Balsam Lane, Spaulding, Michigan. You can reach out to her office (for appointments etc.) via phone at
(906) 497-5263.
Dr Krista Carol-ison Gorenchan is licensed to practice in Michigan (license number 2901018977) 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 1740265131.
Healthcare Provider's Profile
Full Name | Dr Krista Carol-ison Gorenchan |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | N16088 Balsam Lane, Spaulding, Michigan |
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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: 1740265131
- Provider Enumeration Date: 12/08/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2264753052
- Enrollment ID: I20150604002405
Medical Identifiers
Medical identifiers for Dr Krista Carol-ison Gorenchan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740265131 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 2901018977 (Michigan) | 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 Krista Carol-ison Gorenchan 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 Krista Carol-ison Gorenchan, DDS 421 26th St, Gladstone, MI 49837-2322 Ph: (906) 428-2319 | Dr Krista Carol-ison Gorenchan, DDS N16088 Balsam Lane, Spaulding, MI 49886 Ph: (906) 497-5263 |
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