Gary Martin Coloian, DDS is a medicare enrolled "Dentist" provider in Wastlake, Ohio. His current practice location is
29160 Center Ridge Suite G, Wastlake, Ohio. You can reach out to his office (for appointments etc.) via phone at
(440) 835-4380.
Gary Martin Coloian is licensed to practice in Ohio (license number 18656) 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 1528132396.
Healthcare Provider's Profile
Full Name | Gary Martin Coloian |
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Gender | Male |
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Speciality | Dentist |
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Location | 29160 Center Ridge Suite G, Wastlake, Ohio |
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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: 1528132396
- Provider Enumeration Date: 11/20/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0840570768
- Enrollment ID: I20161212002379
Medical Identifiers
Medical identifiers for Gary Martin Coloian such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528132396 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 18656 (Ohio) | 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. Gary Martin Coloian 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 |
Gary Martin Coloian, DDS 29160 Center Ridge Suite G, Wastlake, OH 44145 Ph: (440) 835-4380 | Gary Martin Coloian, DDS 29160 Center Ridge Suite G, Wastlake, OH 44145 Ph: (440) 835-4380 |
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