Dr Darrin Michael Wiederhold, DMD MS in Olympia, WA

Dr Darrin Michael Wiederhold, DMD MS is a medicare enrolled "Dentist - General Practice" provider in Olympia, Washington. His current practice location is 525 Lilly Rd Ne Ste 110, Olympia, Washington. You can reach out to his office (for appointments etc.) via phone at (570) 205-3948.

Dr Darrin Michael Wiederhold is licensed to practice in Washington (license number DE61306850) 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 1790845808.

Contact Information

	Dr Darrin Michael Wiederhold, DMD MS
	525 Lilly Rd Ne Ste 110, Olympia, WA 98506-5101
	(570) 205-3948
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Darrin Michael Wiederhold
Gender	Male
Speciality	Dentist - General Practice
Location	525 Lilly Rd Ne Ste 110, Olympia, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790845808
Provider Enumeration Date: 12/11/2006
Last Update Date: 07/29/2022

Medicare PECOS Information:

PECOS PAC ID: 5698036671
Enrollment ID: I20240126003263

Medical Identifiers

Medical identifiers for Dr Darrin Michael Wiederhold such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790845808	NPI	-	NPPES
DE61306850	Other	WA	DENTAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	DS036972 (Pennsylvania)	Secondary
1223G0001X	Dentist - General Practice	55531 (California)	Secondary
1223G0001X	Dentist - General Practice	DE61306850 (Washington)	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. Dr Darrin Michael Wiederhold allows following entities to bill medicare on his behalf.

Entity Name	Scranton Primary Health Care Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801871579 PECOS PAC ID: 0941206650 Enrollment ID: O20061019000363

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 Darrin Michael Wiederhold 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 Darrin Michael Wiederhold, DMD MS 1200 12th Ave S Ste 901, Seattle, WA 98144-2712 Ph: (206) 548-3058	Dr Darrin Michael Wiederhold, DMD MS 525 Lilly Rd Ne Ste 110, Olympia, WA 98506-5101 Ph: (570) 205-3948

Reviews and Comments

Dentist in Olympia, WA

Dr. Rosemary Elaine Engle, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4818b She Nah Num Dr Se, Olympia, WA 98513 Phone: 360-459-5312 Fax: 360-407-0860
Dr. Monglien T Nguyen, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3240 14th Ave Nw, Suite B, Olympia, WA 98502 Phone: 360-866-7669 Fax: 360-866-9115
Dr. James M Jones, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2417 Pacific Ave Se, Suite A, Olympia, WA 98501 Phone: 360-943-4644 Fax: 360-943-2534
Monty D Tolman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 220 Lilly Rd Ne # A, Olympia, WA 98506 Phone: 360-459-4800 Fax: 360-459-0052
Dr. Amanda Megan Luck, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1808 State Ave Ne, Olympia, WA 98506 Phone: 360-459-2677
Dr. Levi G Green, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 703 Lilly Rd Ne Ste 201, Olympia, WA 98506 Phone: 360-459-3400 Fax: 360-459-9700
Ghousia Ashraf, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3315 Pacific Ave Se Ste A1, Olympia, WA 98501 Phone: 360-491-1414

Dr Darrin Michael Wiederhold, DMD MS - Medicare Dentist in Olympia, WA