Mr Clyde David Knoblauch Sr, DDS - Medicare Dentist in Omaha, NE

Mr Clyde David Knoblauch Sr, DDS is a medicare enrolled "Dentist" provider in Omaha, Nebraska. His current practice location is 501 N 87 St, Ste 201, Omaha, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 393-0282.

Mr Clyde David Knoblauch Sr is licensed to practice in Nebraska (license number NE4237) 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 1972666758.

Contact Information

Mr Clyde David Knoblauch Sr, DDS
501 N 87 St, Ste 201,
Omaha, NE 68114
(402) 393-0282
(402) 393-8861

Map and Direction




Healthcare Provider's Profile

Full NameMr Clyde David Knoblauch Sr
GenderMale
SpecialityDentist
Location501 N 87 St, Omaha, Nebraska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972666758
  • Provider Enumeration Date: 12/19/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2365716446
  • Enrollment ID: I20170928001738

Medical Identifiers

Medical identifiers for Mr Clyde David Knoblauch Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972666758NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist NE4237 (Nebraska)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. Mr Clyde David Knoblauch Sr 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
Mr Clyde David Knoblauch Sr, DDS
501 N 87 St, Ste 201,
Omaha, NE 68114

Ph: (402) 393-0282
Mr Clyde David Knoblauch Sr, DDS
501 N 87 St, Ste 201,
Omaha, NE 68114

Ph: (402) 393-0282

Reviews and Comments


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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.

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