Li Bao, DMD in Albuquerque, NM - Medicare Dentist Provider

Li Bao, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Albuquerque, New Mexico. His current practice location is 475 Coors Blvd Nw Ste A, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 208-0505.

Li Bao is licensed to practice in New Mexico (license number DD4029) 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 1730501032.

Contact Information

	Li Bao, DMD
	475 Coors Blvd Nw Ste A, Albuquerque, NM 87121-1426
	(505) 208-0505
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Li Bao
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	475 Coors Blvd Nw Ste A, Albuquerque, 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: 1730501032
Provider Enumeration Date: 01/07/2014
Last Update Date: 08/06/2024

Medicare PECOS Information:

PECOS PAC ID: 9335514249
Enrollment ID: I20230406002119

Medical Identifiers

Medical identifiers for Li Bao such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730501032	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	63209 (California)	Secondary
122300000X	Dentist	DD4029 (New Mexico)	Secondary
1223G0001X	Dentist - General Practice	DD4029 (New Mexico)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	DD4029 (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. Li Bao allows following entities to bill medicare on his behalf.

Entity Name	A Better Smile Dentistry Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750820619 PECOS PAC ID: 8426423336 Enrollment ID: O20230406001945

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. Li Bao 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
Li Bao, DMD 475 Coors Blvd Nw Ste A, Albuquerque, NM 87121-1426 Ph: (505) 208-0505	Li Bao, DMD 475 Coors Blvd Nw Ste A, Albuquerque, NM 87121-1426 Ph: (505) 208-0505

Reviews and Comments

Dentist in Albuquerque, NM

Dr. Shane Thomas Clark, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2800 Coors Blvd Nw, Albuquerque, NM 87120 Phone: 505-352-1166
Dan Lafferty Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4550 Eubank Blvd Ne Ste 101, Albuquerque, NM 87111 Phone: 505-292-8588 Fax: 505-292-3100
Dr. Stephanie Ashley Padilla, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3809 Eubank Blvd Ne, Albuquerque, NM 87111 Phone: 505-292-2323 Fax: 855-287-5765
Erin O'neal, Dentist Medicare: Medicare Enrolled Practice Location: 2001 Centro Familiar Blvd Sw, Albuquerque, NM 87105 Phone: 505-873-7400
Dr. William C Gardner, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8200 Carmel Ave Ne Ste 101, Albuquerque, NM 87122 Phone: 505-828-2669 Fax: 505-828-2716
Dr. Hunter Lee Mortley, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 7510 Montgomery Blvd Ne, #206, Albuquerque, NM 87109 Phone: 505-881-1998
Shu-ching Catherine Chang, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5721 Fourth Street Nw, Albuquerque, NM 87107 Phone: 505-345-0515 Fax: 505-345-2418

Li Bao, DMD - Medicare Dentist in Albuquerque, NM