Dr Caitlyn Elizabeth Nelson, DDS is a medicare enrolled "Dentist - General Practice" provider in Clendenin, West Virginia. Her current practice location is
107 Koontz Ave Ste 200, Clendenin, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 548-2160.
Dr Caitlyn Elizabeth Nelson is licensed to practice in West Virginia (license number 4260) 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 1043660160.
Healthcare Provider's Profile
Full Name | Dr Caitlyn Elizabeth Nelson |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 107 Koontz Ave Ste 200, Clendenin, West Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043660160
- Provider Enumeration Date: 06/20/2016
- Last Update Date: 04/02/2019
Medicare PECOS Information:
- PECOS PAC ID: 6901285949
- Enrollment ID: I20220621003154
Medical Identifiers
Medical identifiers for Dr Caitlyn Elizabeth Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043660160 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 4260 (West Virginia) | 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. Dr Caitlyn Elizabeth Nelson 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 |
Dr Caitlyn Elizabeth Nelson, DDS 107 Koontz Ave Ste 200, Clendenin, WV 25045-9581 Ph: (304) 548-2160 | Dr Caitlyn Elizabeth Nelson, DDS 107 Koontz Ave Ste 200, Clendenin, WV 25045 Ph: (304) 548-2160 |
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