Dr Nicholas Patrick Sheridan, DDS is a medicare enrolled "Dentist" provider in Ft Washakie, Wyoming. His current practice location is
29 Black Coal Dr, Ft Washakie, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(307) 335-5959.
Dr Nicholas Patrick Sheridan is licensed to practice in Michigan (license number 2901019217) 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 1144209917.
Healthcare Provider's Profile
Full Name | Dr Nicholas Patrick Sheridan |
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Gender | Male |
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Speciality | Dentist |
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Location | 29 Black Coal Dr, Ft Washakie, Wyoming |
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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: 1144209917
- Provider Enumeration Date: 01/11/2006
- Last Update Date: 10/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 4880931922
- Enrollment ID: I20190128000490
Medical Identifiers
Medical identifiers for Dr Nicholas Patrick Sheridan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144209917 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 2901019217 (Michigan) | 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 Nicholas Patrick Sheridan allows following entities to bill medicare on his behalf.
Entity Name | Us Health Dept Of Health & Human Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972694602 PECOS PAC ID: 9638081623 Enrollment ID: O20031106000399 |
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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 Patrick Sheridan 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 Patrick Sheridan, DDS 311 Edward St, Auburn, MI 48611-9454 Ph: (989) 662-6593 | Dr Nicholas Patrick Sheridan, DDS 29 Black Coal Dr, Ft Washakie, WY 82514 Ph: (307) 335-5959 |
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