Dr Matt Gordon Vandermolen, DDS in Springfield, IL - Medicare Dentist Provider

Dr Matt Gordon Vandermolen, DDS is a medicare enrolled "Dentist - General Practice" provider in Springfield, Illinois. His current practice location is 4701 Wabash Ave, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 546-3333.

Dr Matt Gordon Vandermolen is licensed to practice in Illinois (license number ) 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 1023194487.

Contact Information

	Dr Matt Gordon Vandermolen, DDS
	4701 Wabash Ave, Springfield, IL 62711-9694
	(217) 546-3333
	Not Available

Healthcare Provider's Profile

Full Name	Dr Matt Gordon Vandermolen
Gender	Male
Speciality	Dentist - General Practice
Location	4701 Wabash Ave, Springfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023194487
Provider Enumeration Date: 10/28/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9537488754
Enrollment ID: I20150508001620

Medical Identifiers

Medical identifiers for Dr Matt Gordon Vandermolen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023194487	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	(Illinois)	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 Matt Gordon Vandermolen 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
Dr Matt Gordon Vandermolen, DDS 4701 Wabash Ave, Springfield, IL 62711-9694 Ph: (217) 546-3333	Dr Matt Gordon Vandermolen, DDS 4701 Wabash Ave, Springfield, IL 62711-9694 Ph: (217) 546-3333

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Dentist in Springfield, IL

Dr. Tulin Perihan Ozyurt, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2239 E Cook St, Springfield, IL 62703 Phone: 217-788-2300 Fax: 217-788-2342
Soo Hyun Kim, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 802 N 9th St, Springfield, IL 62702 Phone: 888-988-4066 Fax: 847-496-7603
Muzammil Saeed, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2239 E Cook St, Springfield, IL 62703 Phone: 217-788-2300
John Edward Williams, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 231 N Bruns Ln Bldg C, Springfield, IL 62702 Phone: 217-546-9097
Ankush Katkade, Dentist Medicare: Medicare Enrolled Practice Location: 2239 E Cook St, Springfield, IL 62703 Phone: 217-788-2300
Kraig D. Osborne, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 2501 W Iles Ave, Suite B, Springfield, IL 62704 Phone: 217-546-0351 Fax: 217-546-0352

Dr Matt Gordon Vandermolen, DDS - Medicare Dentist in Springfield, IL