Dr Jon Gregorie Nelson, DDS - Medicare Dentist in Superior, WI

Dr Jon Gregorie Nelson, DDS is a medicare enrolled "Dentist - General Practice" provider in Superior, Wisconsin. His current practice location is 418 23rd Ave E, Superior, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 398-3239.

Dr Jon Gregorie Nelson is licensed to practice in Wisconsin (license number WI 3898) 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 1003982406.

Contact Information

Dr Jon Gregorie Nelson, DDS
418 23rd Ave E,
Superior, WI 54880-3707
(715) 398-3239
(715) 398-5799



Healthcare Provider's Profile

Full NameDr Jon Gregorie Nelson
GenderMale
SpecialityDentist - General Practice
Location418 23rd Ave E, Superior, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003982406
  • Provider Enumeration Date: 11/28/2006
  • Last Update Date: 03/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9638463680
  • Enrollment ID: I20161017001466

Medical Identifiers

Medical identifiers for Dr Jon Gregorie Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003982406NPI-NPPES
33679400MedicaidWI
437434OtherWIUNITED CONCORDIA
WI 3898OtherWILICENSE
06508NEOtherMNBCBS MN IDENTIFIER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice WI 3898 (Wisconsin)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. Dr Jon Gregorie 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 AddressPractice Location Address
Dr Jon Gregorie Nelson, DDS
418 23rd Ave E,
Superior, WI 54880-3707

Ph: (715) 398-3239
Dr Jon Gregorie Nelson, DDS
418 23rd Ave E,
Superior, WI 54880-3707

Ph: (715) 398-3239

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› Verified 7 days ago


Dentist in Superior, WI

Dr. Kirkland A Fehrman, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2222 E 5th St, Superior, WI 54880
Phone: 715-394-5411    Fax: 715-392-5086
Thomas A Linstroth, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3600 Tower Ave, Superior, WI 54880
Phone: 715-394-5411    
Dr. Arthur David Zehm, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1507 Tower Ave, Ste 409, Superior, WI 54880
Phone: 715-392-3499    
Dr. Kevin M Mikel, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3312 Tower Avenue, Superior, WI 54880
Phone: 715-392-1132    Fax: 715-392-2333
Dr. John E Conkright, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 823 Belknap St, Suite 220, Superior, WI 54880
Phone: 715-392-4545    Fax: 715-392-4547
Dr. Mark D Callaway, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 6401 Tower Ave, Superior, WI 54880
Phone: 715-392-1529    

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