Grant Kimball Stucki, DDS, MS in Highlands Ranch, CO

Grant Kimball Stucki, DDS, MS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Highlands Ranch, Colorado. His current practice location is 4763 Briarglen Ln, Highlands Ranch, Colorado. You can reach out to his office (for appointments etc.) via phone at (520) 255-3132.

Grant Kimball Stucki is licensed to practice in Colorado (license number 202724) 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 1184850315.

Contact Information

	Grant Kimball Stucki, DDS, MS
	4763 Briarglen Ln, Highlands Ranch, CO 80130-6909
	(520) 255-3132
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Grant Kimball Stucki
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	4763 Briarglen Ln, Highlands Ranch, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184850315
Provider Enumeration Date: 06/02/2009
Last Update Date: 05/03/2016

Medicare PECOS Information:

PECOS PAC ID: 4284852112
Enrollment ID: I20221224000016

Medical Identifiers

Medical identifiers for Grant Kimball Stucki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184850315	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	62211 (California)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	8504184 (Utah)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	D008773 (Arizona)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	202724 (Colorado)	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. Grant Kimball Stucki allows following entities to bill medicare on his behalf.

Entity Name	Denver Health And Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477569838 PECOS PAC ID: 4688583578 Enrollment ID: O20031105000211

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. Grant Kimball Stucki 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
Grant Kimball Stucki, DDS, MS 4763 Briarglen Ln, Highlands Ranch, CO 80130-6909 Ph: (520) 255-3132	Grant Kimball Stucki, DDS, MS 4763 Briarglen Ln, Highlands Ranch, CO 80130-6909 Ph: (520) 255-3132

Reviews and Comments

Dentist in Highlands Ranch, CO

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Dr. Patrick Thomas Wilson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 9358 Dorchester St Ste 106, Highlands Ranch, CO 80129 Phone: 303-791-0328
Berween Mourady, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1165 Sgt. Jon Stiles Drive, Highlands Ranch, CO 80129 Phone: 651-431-8148

Grant Kimball Stucki, DDS, MS - Medicare Dentist in Highlands Ranch, CO