Nicklis C Simpson, DMD is a medicare enrolled "Dentist - General Practice" provider in Gleneden Beach, Oregon. His current practice location is
6645 Gleneden Beach Loop, Gleneden Beach, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 764-3850.
Nicklis C Simpson is licensed to practice in Oregon (license number 4556) 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 1043218373.
Healthcare Provider's Profile
Full Name | Nicklis C Simpson |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 6645 Gleneden Beach Loop, Gleneden Beach, Oregon |
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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: 1043218373
- Provider Enumeration Date: 07/11/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1456571058
- Enrollment ID: I20141002001271
Medical Identifiers
Medical identifiers for Nicklis C Simpson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043218373 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 4556 (Oregon) | 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. Nicklis C Simpson 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 |
Nicklis C Simpson, DMD Po Box 86, 6645 Gleneden Beach Loop, Gleneden Beach, OR 97388-0086 Ph: (541) 764-3850 | Nicklis C Simpson, DMD 6645 Gleneden Beach Loop, Gleneden Beach, OR 97388-9700 Ph: (541) 764-3850 |
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