Dr Kurt Nathan Richeson, DDS is a medicare enrolled "Dentist - General Practice" provider in Culver, Indiana. His current practice location is
1001 N Lake Shore Dr, Culver, Indiana. You can reach out to his office (for appointments etc.) via phone at
(574) 842-3465.
Dr Kurt Nathan Richeson is licensed to practice in Indiana (license number 12010186A) 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 1184672032.
Healthcare Provider's Profile
Full Name | Dr Kurt Nathan Richeson |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 1001 N Lake Shore Dr, Culver, Indiana |
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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: 1184672032
- Provider Enumeration Date: 05/04/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 3870892599
- Enrollment ID: I20160502002071
Medical Identifiers
Medical identifiers for Dr Kurt Nathan Richeson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184672032 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 12010186A (Indiana) | 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 Kurt Nathan Richeson 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 Kurt Nathan Richeson, DDS 900 N Lake Shore Dr, Culver, IN 46511-1208 Ph: (574) 842-4194 | Dr Kurt Nathan Richeson, DDS 1001 N Lake Shore Dr, Culver, IN 46511-1209 Ph: (574) 842-3465 |
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