Dr Nicole Marie Reddout, DMD - Medicare Dentist 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 NameDr Nicole Marie Reddout
GenderFemale
SpecialityDentist - Oral And Maxillofacial Surgery
Location1647 Admiral Taussig Blvd, Norfolk, Virginia
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1790001436NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 0438000368 (Virginia)Primary
122300000XDentist 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 NameRoanoke Oral Surgery Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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
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Dr. Sojeong Kim, DDS
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Practice Location: 1647 Admiral Taussig Blvd, Norfolk, VA 23511
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Thomas N Hawkins Jr., DDS
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Phone: 757-314-6609    
Dr. Samuel Heriges Chambers, D.M.D.
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David Adam Myers, DMD
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Medicare: Not Enrolled in Medicare
Practice Location: 1647 Admiral Taussig Blvd, Norfolk, VA 23511
Phone: 757-953-8547    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.