Gabriel Overholtzer, DDS in Bishop, CA - Medicare Dentist Provider

Gabriel Overholtzer, DDS is a medicare enrolled "Dentist" provider in Bishop, California. His current practice location is 325 Grove St, Bishop, California. You can reach out to his office (for appointments etc.) via phone at (760) 873-6513.

Gabriel Overholtzer is licensed to practice in California (license number 62585) 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 1104250588.

Contact Information

	Gabriel Overholtzer, DDS
	325 Grove St, Bishop, CA 93514-2621
	(760) 873-6513
	Not Available

Healthcare Provider's Profile

Full Name	Gabriel Overholtzer
Gender	Male
Speciality	Dentist
Location	325 Grove St, Bishop, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104250588
Provider Enumeration Date: 08/21/2013
Last Update Date: 02/17/2014

Medicare PECOS Information:

PECOS PAC ID: 8426351412
Enrollment ID: I20160126000773

Medical Identifiers

Medical identifiers for Gabriel Overholtzer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104250588	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	62585 (California)	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. Gabriel Overholtzer 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
Gabriel Overholtzer, DDS 325 Grove St, Bishop, CA 93514-2621 Ph: () -	Gabriel Overholtzer, DDS 325 Grove St, Bishop, CA 93514-2621 Ph: (760) 873-6513

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Dentist in Bishop, CA

Dr. Cameron Neal Hopkins, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 645 W Line St, Bishop, CA 93514 Phone: 760-873-3227 Fax: 760-873-5827
Dr. Thomas F Wuesthoff, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 250 N See Vee Ln, Bishop, CA 93514 Phone: 760-873-3443 Fax: 760-503-0205
Nathan Luteru Beck, DDS Dentist Medicare: Medicare Enrolled Practice Location: 625 Keough St, Bishop, CA 93514 Phone: 760-258-7524
Dr. Bradford Spika, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 312 W Line St, Bishop, CA 93514 Phone: 760-873-3208
Dr. Robert J Mcgovern, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 312 W Line St, Bishop, CA 93514 Phone: 760-873-3208 Fax: 760-873-7282
Dr. Parisa Payman, DDS Dentist Medicare: Medicare Enrolled Practice Location: 52 N Tu Su Ln, Bishop, CA 93514 Phone: 760-873-3443 Fax: 760-873-3889

Gabriel Overholtzer, DDS - Medicare Dentist in Bishop, CA