Dr Gary Michael Altenburg, DDS - Medicare Dentist in Eagle, ID

Dr Gary Michael Altenburg, DDS is a medicare enrolled "Dentist - Endodontics" provider in Eagle, Idaho. His current practice location is 450 W State St Ste 115, Eagle, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 286-4200.

Dr Gary Michael Altenburg is licensed to practice in Idaho (license number D-5078-EN) 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 1356558852.

Contact Information

Dr Gary Michael Altenburg, DDS
450 W State St Ste 115,
Eagle, ID 83616-7055
(208) 286-4200
(208) 286-4201



Healthcare Provider's Profile

Full NameDr Gary Michael Altenburg
GenderMale
SpecialityDentist - Endodontics
Location450 W State St Ste 115, Eagle, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356558852
  • Provider Enumeration Date: 05/16/2007
  • Last Update Date: 07/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4183930548
  • Enrollment ID: I20170614002323

Medical Identifiers

Medical identifiers for Dr Gary Michael Altenburg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356558852NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223E0200XDentist - Endodontics D-5078-EN (Idaho)Primary
1223E0200XDentist - Endodontics 46454 (California)Secondary

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 Gary Michael Altenburg 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 AddressPractice Location Address
Dr Gary Michael Altenburg, DDS
4940 N Soaring Ln,
Eagle, ID 83616-1937

Ph: (760) 975-1657
Dr Gary Michael Altenburg, DDS
450 W State St Ste 115,
Eagle, ID 83616-7055

Ph: (208) 286-4200

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› Verified 5 days ago


Dentist in Eagle, ID

Dr. Evan Hathaway, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1217 E Iron Eagle Dr, Eagle, ID 83616
Phone: 208-377-1161    Fax: 208-938-0567
Colton Charles, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 450 W State St Ste 180, Eagle, ID 83616
Phone: 208-939-0600    
Dr. Joel Edward Courtial, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 151 Stierman Way, Eagle, ID 83616
Phone: 208-939-4111    Fax: 208-939-3701
George D. Chen, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1564 E Crowne Point Dr, Eagle, ID 83616
Phone: 916-508-2435    Fax: 916-983-6201
Dr. Michael G Dolby, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 90 Cottonwood Ct Ste 100, Eagle, ID 83616
Phone: 208-323-8545    Fax: 208-938-1401
Donald E Larson, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 700 E State St Ste 100, Eagle, ID 83616
Phone: 208-939-3500    Fax: 208-939-9897
Dr. Ryan N Van Alfen, DDS, PLC
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 483 S Rivershore Ln Ste 102, Eagle, ID 83616
Phone: 208-938-2100    Fax: 208-938-0676

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