Jill Sandwick Nelson, DDS is a medicare enrolled "Dentist - General Practice" provider in Bagley, Minnesota. Her current practice location is
13 Main Avenue North, Bagley, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 694-6571.
Jill Sandwick Nelson is licensed to practice in Minnesota (license number 10967) 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 1225108186.
Healthcare Provider's Profile
Full Name | Jill Sandwick Nelson |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 13 Main Avenue North, Bagley, 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: 1225108186
- Provider Enumeration Date: 11/08/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7810299872
- Enrollment ID: I20160107001224
Medical Identifiers
Medical identifiers for Jill Sandwick Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225108186 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 10967 (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. Jill Sandwick Nelson 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 |
Jill Sandwick Nelson, DDS 13 Main Avenue North, Po Box 299, Bagley, MN 56621 Ph: (218) 694-6571 | Jill Sandwick Nelson, DDS 13 Main Avenue North, Bagley, MN 56621 Ph: (218) 694-6571 |
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