Dr Nicole Marie Reddout, DMD in Norfolk, VA

Dr Nicole Marie Reddout, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Norfolk, Virginia. Her current practice location is 1647 Admiral Taussig Blvd, Norfolk, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 953-8605.

Dr Nicole Marie Reddout is licensed to practice in Virginia (license number 0438000368) 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 1790001436.

Contact Information

	Dr Nicole Marie Reddout, DMD
	1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803
	(757) 953-8605
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Nicole Marie Reddout
Gender	Female
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	1647 Admiral Taussig Blvd, Norfolk, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790001436
Provider Enumeration Date: 04/19/2010
Last Update Date: 01/30/2017

Medicare PECOS Information:

PECOS PAC ID: 6800261652
Enrollment ID: I20230407001127

Medical Identifiers

Medical identifiers for Dr Nicole Marie Reddout such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790001436	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	0438000368 (Virginia)	Primary
122300000X	Dentist	0401415421 (Virginia)	Secondary

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 Nicole Marie Reddout allows following entities to bill medicare on her behalf.

Entity Name	Roanoke Oral Surgery Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104007384 PECOS PAC ID: 1456314681 Enrollment ID: O20041109000755

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 Marie Reddout 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 Marie Reddout, DMD 112 Meridian Pl, Suffolk, VA 23435-3787 Ph: (702) 374-8217	Dr Nicole Marie Reddout, DMD 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 Ph: (757) 953-8605

Reviews and Comments

Dentist in Norfolk, VA

Dr. Andrew D Henning, DMD, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1011 W Little Creek Rd Ste A, Norfolk, VA 23505 Phone: 757-440-7955
Dr. Sojeong Kim, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1647 Admiral Taussig Blvd, Norfolk, VA 23511 Phone: 757-953-8575
Jasmine Schneider, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 7923 Halprin Dr, Norfolk, VA 23518 Phone: 757-587-0874
Joseph Scott Anderson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1647 Admiral Taussig Blvd, Norfolk, VA 23511 Phone: 757-953-8592
Thomas N Hawkins Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1647 Admiral Taussig Blvd, Norfolk, VA 23511 Phone: 757-314-6609
Dr. Samuel Heriges Chambers, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: Uss Trenton, Fpo/ae 09588-1719, Norfolk, VA 23707 Phone: 757-444-1450
David Adam Myers, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1647 Admiral Taussig Blvd, Norfolk, VA 23511 Phone: 757-953-8547

Dr Nicole Marie Reddout, DMD - Medicare Dentist in Norfolk, VA