Dr Gene David Prendergast, DO is a medicare enrolled "Orthopaedic Surgery" physician in Green Valley, Arizona. He graduated from medical school in 1979 and has 45 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Pecos Valley Of New Mexico Llc and his current practice location is
4485 S 1-19 Frontage Road, Suite 100, Green Valley, Arizona. You can reach out to his office (for appointments etc.) via phone at
(866) 974-2673.
Dr Gene David Prendergast is licensed to practice in New Mexico (license number A-1607-11) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144370446.
Physician's Profile
| Full Name | Dr Gene David Prendergast |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 45 Years |
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| Location | 4485 S 1-19 Frontage Road, Green Valley, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Gene David Prendergast graduated from medical school in 1979
NPI Data:
- NPI Number: 1144370446
- Provider Enumeration Date: 01/11/2007
- Last Update Date: 10/22/2015
Medicare PECOS Information:
- PECOS PAC ID: 0941336812
- Enrollment ID: I20110912000739
Medical Identifiers
Medical identifiers for Dr Gene David Prendergast such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1144370446 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | A-1607-11 (New Mexico) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pecos Valley Of New Mexico Llc | 2466359781 | 28 |
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 Gene David Prendergast allows following entities to bill medicare on his behalf.
| Entity Name | Presbyterian Healthcare Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104802354
PECOS PAC ID: 9234041708
Enrollment ID: O20031103000603 |
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| Entity Name | Pecos Valley Of New Mexico Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972569820
PECOS PAC ID: 2466359781
Enrollment ID: O20031216000086 |
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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. Dr Gene David Prendergast 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 |
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Dr Gene David Prendergast, DO
18444 N 25th Ave, Suite 310,
Phoenix, AZ 85023-1261
Ph: (866) 974-2673 | Dr Gene David Prendergast, DO
4485 S 1-19 Frontage Road, Suite 100,
Green Valley, AZ 85614
Ph: (866) 974-2673 |
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