Kevin Ted Nelson, DDS is a medicare enrolled "Dentist - General Practice" provider in Nine Mile Falls, Washington. His current practice location is
5952 Blackstone Way Ste 100, Nine Mile Falls, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 464-0002.
Kevin Ted Nelson is licensed to practice in Washington (license number DE60690890) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669601886.
Healthcare Provider's Profile
Full Name | Kevin Ted Nelson |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 5952 Blackstone Way Ste 100, Nine Mile Falls, 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: 1669601886
- Provider Enumeration Date: 07/09/2009
- Last Update Date: 11/01/2016
Medicare PECOS Information:
- PECOS PAC ID: 5092019497
- Enrollment ID: I20160204002048
Medical Identifiers
Medical identifiers for Kevin Ted Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669601886 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 2009015337 (Missouri) | Secondary |
1223G0001X | Dentist - General Practice | DE60690890 (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. Kevin Ted 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 |
Kevin Ted Nelson, DDS 5952 Blackstone Way Ste 100, Nine Mile Falls, WA 99026-4900 Ph: (509) 464-0002 | Kevin Ted Nelson, DDS 5952 Blackstone Way Ste 100, Nine Mile Falls, WA 99026-4900 Ph: (509) 464-0002 |
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