Dr Jeffrey Ray Nelson, DDS is a medicare enrolled "Dentist - General Practice" provider in Kingston, Oklahoma. His current practice location is
1109 Highway 70 N, Kingston, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 564-9994.
Dr Jeffrey Ray Nelson is licensed to practice in Oklahoma (license number 5238) 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 1124149455.
Healthcare Provider's Profile
Full Name | Dr Jeffrey Ray Nelson |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 1109 Highway 70 N, Kingston, Oklahoma |
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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: 1124149455
- Provider Enumeration Date: 04/03/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6901185628
- Enrollment ID: I20161119000213
Medical Identifiers
Medical identifiers for Dr Jeffrey Ray Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124149455 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 5238 (Oklahoma) | 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 Jeffrey Ray 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 Jeffrey Ray Nelson, DDS Po Box 1360, 1109 N Hwy 70, Kingston, OK 73439-1360 Ph: (580) 564-9994 | Dr Jeffrey Ray Nelson, DDS 1109 Highway 70 N, Kingston, OK 73439-8232 Ph: (580) 564-9994 |
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