Dr Nicole Leigh Tripp, DDS is a medicare enrolled "Dentist - General Practice" provider in Maple Lake, Minnesota. Her current practice location is
57 Birch Ave S, Maple Lake, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 963-3794.
Dr Nicole Leigh Tripp is licensed to practice in Minnesota (license number D13234) 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 1205273042.
Healthcare Provider's Profile
Full Name | Dr Nicole Leigh Tripp |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 57 Birch Ave S, Maple Lake, Minnesota |
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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: 1205273042
- Provider Enumeration Date: 06/03/2013
- Last Update Date: 09/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 2860790987
- Enrollment ID: I20160406000299
Medical Identifiers
Medical identifiers for Dr Nicole Leigh Tripp such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205273042 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | D13234 (Minnesota) | 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 Nicole Leigh Tripp 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 Nicole Leigh Tripp, DDS 57 Birch Ave S, Maple Lake, MN 55358-4570 Ph: (320) 963-3794 | Dr Nicole Leigh Tripp, DDS 57 Birch Ave S, Maple Lake, MN 55358-4570 Ph: (320) 963-3794 |
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