Dr Nichole Barton Tomblin, is a medicare enrolled "Dentist" provider in Mattawa, Washington. Her current practice location is
210 Government Rd, Mattawa, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 932-4499.
Dr Nichole Barton Tomblin is licensed to practice in Washington (license number DE60708382) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114385044.
Healthcare Provider's Profile
Full Name | Dr Nichole Barton Tomblin |
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Gender | Female |
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Speciality | Dentist |
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Location | 210 Government Rd, Mattawa, Washington |
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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: 1114385044
- Provider Enumeration Date: 02/06/2016
- Last Update Date: 01/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 7214219435
- Enrollment ID: I20170216002568
Medical Identifiers
Medical identifiers for Dr Nichole Barton Tomblin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114385044 | NPI | - | NPPES |
2072503 | Medicaid | WA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | DE60708382 (Washington) | 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 Nichole Barton Tomblin 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 Nichole Barton Tomblin, 210 Government Rd, Mattawa, WA 99349-5116 Ph: (509) 932-4499 | Dr Nichole Barton Tomblin, 210 Government Rd, Mattawa, WA 99349-5116 Ph: (509) 932-4499 |
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