Dr Dwayne Leonard Gorman, MD in Tucson, AZ

Dr Dwayne Leonard Gorman, MD is a medicare enrolled "Pediatrics" physician in Tucson, Arizona. His current practice location is 1501 N Campbell Ave, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 626-4657.

Dr Dwayne Leonard Gorman is licensed to practice in Arizona (license number R71098) 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 1033368295.

Contact Information

	Dr Dwayne Leonard Gorman, MD
	1501 N Campbell Ave, Tucson, AZ 85724-0001
	(520) 626-4657
	(520) 626-5652

Map and Direction

Physician's Profile

Full Name	Dr Dwayne Leonard Gorman
Gender	Male
Speciality	Pediatrics
Location	1501 N Campbell Ave, Tucson, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033368295
Provider Enumeration Date: 09/12/2008
Last Update Date: 09/12/2008

Medicare PECOS Information:

PECOS PAC ID: 7315085156
Enrollment ID: I20091116000153

Medical Identifiers

Medical identifiers for Dr Dwayne Leonard Gorman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033368295	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	R71098 (Arizona)	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. Dr Dwayne Leonard Gorman allows following entities to bill medicare on his behalf.

Entity Name	Old Pueblo Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306890793 PECOS PAC ID: 4981607512 Enrollment ID: O20060821000095

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. Dr Dwayne Leonard Gorman 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
Dr Dwayne Leonard Gorman, MD 1501 N Campbell Ave, Po Box 245073, Tucson, AZ 85724-0001 Ph: (520) 626-4657	Dr Dwayne Leonard Gorman, MD 1501 N Campbell Ave, Tucson, AZ 85724-0001 Ph: (520) 626-4657

Reviews and Comments

Pediatrics Doctors in Tucson, AZ

Dr. Sivapriya Ramakrishnan, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1628 North Alvernon Way, Tucson Central Pediatrics, Tucson, AZ 85712 Phone: 520-325-8000
Ashley Azizi Assadi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724 Phone: 520-626-7944
Dr. Jessica Wright, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1625 N Campbell Ave, Tucson, AZ 85719 Phone: 520-694-0111
Robert Serlin, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 6238 E Pima St, Tucson, AZ 85712 Phone: 520-290-0022 Fax: 520-290-0044
Dr. Charles Hoffmeister, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2104 E Drachman St, Tucson, AZ 85719 Phone: 541-954-5666
Monika Marta Lewanczyk, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1625 N Campbell Ave, Tucson, AZ 85719 Phone: 520-626-7644
Dr. Scott Thomas Radomsky, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7507 E. Tanque Verde Road, 101, Tucson, AZ 85715 Phone: 520-722-2585 Fax: 520-722-1097

Dr Dwayne Leonard Gorman, MD - Medicare Pediatrics in Tucson, AZ