Dr Nicholas James Vandemoortel, DDS is a medicare enrolled "Dentist - General Practice" provider in Springfield, Michigan. His current practice location is
572 Military St, Springfield, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 964-0357.
Dr Nicholas James Vandemoortel is licensed to practice in Michigan (license number 2901018452) 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 1437276102.
Healthcare Provider's Profile
Full Name | Dr Nicholas James Vandemoortel |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 572 Military St, Springfield, Michigan |
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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: 1437276102
- Provider Enumeration Date: 03/26/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4284945635
- Enrollment ID: I20170519001384
Medical Identifiers
Medical identifiers for Dr Nicholas James Vandemoortel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437276102 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 2901018452 (Michigan) | 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 Nicholas James Vandemoortel 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 Nicholas James Vandemoortel, DDS 572 Military St, Springfield, MI 49015-1299 Ph: (269) 964-0357 | Dr Nicholas James Vandemoortel, DDS 572 Military St, Springfield, MI 49015-1299 Ph: (269) 964-0357 |
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