Henry M Stachura, MD in Gallup, NM - Medicare Surgery

Henry M Stachura, MD is a medicare enrolled "Surgery" physician in Gallup, New Mexico. His current practice location is 516 E. Nizhoni Blvd., Box 1337, Gallup, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 722-1000.

Henry M Stachura is licensed to practice in New Mexico (license number 94-400) 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 1518991173.

Contact Information

	Henry M Stachura, MD
	516 E. Nizhoni Blvd., Box 1337, Gallup, NM 87301-1337
	(505) 722-1000
	(505) 722-1702

Physician's Profile

Full Name	Henry M Stachura
Gender	Male
Speciality	Surgery
Location	516 E. Nizhoni Blvd., Gallup, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518991173
Provider Enumeration Date: 07/10/2006
Last Update Date: 10/31/2011

Medicare PECOS Information:

PECOS PAC ID: 4183811334
Enrollment ID: I20101214000485

Medical Identifiers

Medical identifiers for Henry M Stachura such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518991173	NPI	-	NPPES
00020604	Medicaid	NM
769060	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	94-400 (New Mexico)	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. Henry M Stachura allows following entities to bill medicare on his behalf.

Entity Name	Dhhs,phs,naihs, Gallup Indian Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840

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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. Henry M Stachura 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
Henry M Stachura, MD 516 E. Nizhoni Blvd., Box 1337, Gallup, NM 87301-1337 Ph: (505) 722-1000	Henry M Stachura, MD 516 E. Nizhoni Blvd., Box 1337, Gallup, NM 87301-1337 Ph: (505) 722-1000

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Surgery Doctors in Gallup, NM

Charles J.s. Guimaraes, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1900 Red Rock Dr., Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301 Phone: 505-863-7200
Dr. Loretta L Christensen, MD Surgery Medicare: Medicare Enrolled Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1650
Maria P Gobencion, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1650
Jack B Fralinger, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1226
Dr. Chayanin Musikasinthorn, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1650
Kimberly Marie Collins, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1900 Redrock Dr, Gallup, NM 87301 Phone: 505-863-7200
William L Shankel, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1650

Henry M Stachura, MD - Medicare Surgery in Gallup, NM

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Surgery Doctors in Gallup, NM