Tanya Sue Maestas, DDS is a medicare enrolled "Dentist - General Practice" provider in Chaparral, New Mexico. Her current practice location is
510 E Lisa Dr, Chaparral, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(575) 824-0128.
Tanya Sue Maestas is licensed to practice in New Mexico (license number DD5147) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1801448964.
Healthcare Provider's Profile
Full Name | Tanya Sue Maestas |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 510 E Lisa Dr, Chaparral, New Mexico |
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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: 1801448964
- Provider Enumeration Date: 07/09/2019
- Last Update Date: 08/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 4587103304
- Enrollment ID: I20240826000128
Medical Identifiers
Medical identifiers for Tanya Sue Maestas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801448964 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | DD5147 (New Mexico) | Primary |
1223G0001X | Dentist - General Practice | 37400 (Texas) | Secondary |
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. Tanya Sue Maestas allows following entities to bill medicare on her behalf.
Entity Name | Ysleta Del Sur Pueblo Community Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144390147 PECOS PAC ID: 7517055015 Enrollment ID: O20071116000507 |
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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. Tanya Sue Maestas 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 |
Tanya Sue Maestas, DDS 385 Calle De Alegra Ste A, Las Cruces, NM 88005-3423 Ph: (575) 526-1105 | Tanya Sue Maestas, DDS 510 E Lisa Dr, Chaparral, NM 88081-7809 Ph: (575) 824-0128 |
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