Seyed Heshmat Mortazavi, DMD in Gallup, NM

Seyed Heshmat Mortazavi, DMD is a medicare enrolled "Dentist" provider in Gallup, New Mexico. His current practice location is 516 E. Nizhoni Blvd, Gallup, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 722-1000.

Seyed Heshmat Mortazavi is licensed to practice in New Mexico (license number DD2342) 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 1902833973.

Contact Information

	Seyed Heshmat Mortazavi, DMD
	516 E. Nizhoni Blvd, Gallup, NM 87301-1337
	(505) 722-1000
	(505) 722-1565

Map and Direction

Healthcare Provider's Profile

Full Name	Seyed Heshmat Mortazavi
Gender	Male
Speciality	Dentist
Location	516 E. Nizhoni Blvd, Gallup, 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: 1902833973
Provider Enumeration Date: 06/27/2006
Last Update Date: 04/11/2008

Medicare PECOS Information:

PECOS PAC ID: 0547434383
Enrollment ID: I20111114000394

Medical Identifiers

Medical identifiers for Seyed Heshmat Mortazavi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902833973	NPI	-	NPPES
000A9888	Medicaid	NM
586084	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DE00007118 (Washington)	Secondary
122300000X	Dentist	DD2342 (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. Seyed Heshmat Mortazavi 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
Seyed Heshmat Mortazavi, DMD Po Box 1337, Gallup, NM 87305-1337 Ph: (505) 722-1000	Seyed Heshmat Mortazavi, DMD 516 E. Nizhoni Blvd, Gallup, NM 87301-1337 Ph: (505) 722-1000

Reviews and Comments

Dentist in Gallup, NM

Timothy L. Ambrose, DDS Dentist Medicare: Medicare Enrolled Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1565
Jovito G Sabal, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 516 E. Nizhoni Blvd, Box 1337, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1565
Dr. Gary Bruce Woodcock, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1560 Fax: 505-722-1563
Dr. Erin Maille Montano, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 802 Us Highway 491, Gallup, NM 87301 Phone: 505-862-5018
Dr. Dain Charles Hubley, DMD Dentist Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Bo Tran, DDS Dentist Medicare: Medicare Enrolled Practice Location: 516 East Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Dr. Eduardo J Valda, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 107 W Green St, Gallup, NM 87301 Phone: 505-870-6128

Seyed Heshmat Mortazavi, DMD - Medicare Dentist in Gallup, NM