Mary Elizabeth Hetsko, DDS is a
Dentist based in Fort Sumner, New Mexico. Mary Elizabeth Hetsko is licensed to practice in New Mexico (license number DD2745) and her current practice location is
546 N 10th Street, Fort Sumner, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 355-7779.
NPI number for Mary Elizabeth Hetsko is 1902951528 and her current mailing address is 7806 Alaska Ct Apt B, Clovis, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902951528.
Healthcare Provider's Profile
Full Name | Mary Elizabeth Hetsko |
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Gender | Female |
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Speciality | Dentist |
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Location | 546 N 10th Street, Fort Sumner, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902951528
- Provider Enumeration Date: 01/24/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mary Elizabeth Hetsko such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902951528 | NPI | - | NPPES |
DD2745 | Other | NM | NM BOARD OF DENTAL HEALTH |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | DD2745 (New Mexico) | 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. Mary Elizabeth Hetsko is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mary Elizabeth Hetsko, DDS 7806 Alaska Ct Apt B, Clovis, NM 88101-8492 Ph: (505) 355-7779 | Mary Elizabeth Hetsko, DDS 546 N 10th Street, Fort Sumner, NM 88119 Ph: (505) 355-7779 |
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