Alicia Ranae Nieuwkoop, DDS in Calumet, MI

Alicia Ranae Nieuwkoop, DDS is a medicare enrolled "Dentist" provider in Calumet, Michigan. Her current practice location is 56720 Calumet Ave, Calumet, Michigan. You can reach out to her office (for appointments etc.) via phone at (906) 483-1177.

Alicia Ranae Nieuwkoop is licensed to practice in Michigan (license number 2901022628) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407349012.

Contact Information

	Alicia Ranae Nieuwkoop, DDS
	56720 Calumet Ave, Calumet, MI 49913-1967
	(906) 483-1177
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alicia Ranae Nieuwkoop
Gender	Female
Speciality	Dentist
Location	56720 Calumet Ave, Calumet, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407349012
Provider Enumeration Date: 06/08/2018
Last Update Date: 05/24/2021

Medicare PECOS Information:

PECOS PAC ID: 2769730837
Enrollment ID: I20180806002550

Medical Identifiers

Medical identifiers for Alicia Ranae Nieuwkoop such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407349012	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	2901022628 (Michigan)	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. Alicia Ranae Nieuwkoop allows following entities to bill medicare on her behalf.

Entity Name	Upper Great Lakes Family Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700103777 PECOS PAC ID: 1951432384 Enrollment ID: O20100629000853

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. Alicia Ranae Nieuwkoop 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
Alicia Ranae Nieuwkoop, DDS 301 Explorer St, Gwinn, MI 49841-2813 Ph: (906) 346-4924	Alicia Ranae Nieuwkoop, DDS 56720 Calumet Ave, Calumet, MI 49913-1967 Ph: (906) 483-1177

Reviews and Comments

Dentist in Calumet, MI

Nicholas T Golba, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 56720 Calumet Ave, Calumet, MI 49913 Phone: 906-483-1177 Fax: 906-372-3230
Dr. Elizabeth D. Vanlandschoot, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 56720 Calumet Ave, Calumet, MI 49913 Phone: 906-483-1177 Fax: 906-481-3094
Dr. Glenda Charlene Reynolds, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 56720 Calumet Ave, Calumet, MI 49913 Phone: 906-483-1177 Fax: 906-483-1188
Dr. Kathleen Ann Gates, DDS Dentist Medicare: Medicare Enrolled Practice Location: 56720 Calumet Ave, Calumet, MI 49913 Phone: 906-483-1177 Fax: 906-483-1394
Dr. Eden Leonard, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 56720 Calumet Ave, Calumet, MI 49913 Phone: 906-483-1177

Alicia Ranae Nieuwkoop, DDS - Medicare Dentist in Calumet, MI