Dr Nicole Therese Kemena, DDS in Gresham, OR - Medicare Dentist Provider

Dr Nicole Therese Kemena, DDS is a medicare enrolled "Dentist" provider in Gresham, Oregon. Her current practice location is 600 Ne 8th St Ste 210, Gresham, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 988-4900.

Dr Nicole Therese Kemena is licensed to practice in Oregon (license number D10139) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063762151.

Contact Information

	Dr Nicole Therese Kemena, DDS
	600 Ne 8th St Ste 210, Gresham, OR 97030-7341
	(503) 988-4900
	Not Available

Healthcare Provider's Profile

Full Name	Dr Nicole Therese Kemena
Gender	Female
Speciality	Dentist
Location	600 Ne 8th St Ste 210, Gresham, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063762151
Provider Enumeration Date: 09/15/2012
Last Update Date: 09/01/2016

Medicare PECOS Information:

PECOS PAC ID: 5799081824
Enrollment ID: I20160315002386

Medical Identifiers

Medical identifiers for Dr Nicole Therese Kemena such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063762151	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	61914 (California)	Secondary
122300000X	Dentist	D10139 (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. Dr Nicole Therese Kemena 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 Nicole Therese Kemena, DDS 600 Ne 8th St Ste 210, Gresham, OR 97030-7341 Ph: (503) 988-4900	Dr Nicole Therese Kemena, DDS 600 Ne 8th St Ste 210, Gresham, OR 97030-7341 Ph: (503) 988-4900

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Dentist in Gresham, OR

Ngan Hoang, DMD Dentist Medicare: Medicare Enrolled Practice Location: 670 Nw Eastman Pkwy, Gresham, OR 97030 Phone: 503-822-4406
Frank James Foreman, DDS Dentist Medicare: Medicare Enrolled Practice Location: 387 Ne 223rd Ave, Gresham, OR 97030 Phone: 503-625-2538
Dr. Matthew Vogel, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1201 Se 223rd Ave Ste 140, Gresham, OR 97030 Phone: 503-665-8116
Dr. Tod M Hardin, DMD, PC Dentist Medicare: Not Enrolled in Medicare Practice Location: 501 Ne Hood Ave, Suite 305, Gresham, OR 97030 Phone: 503-666-2196 Fax: 503-492-8798
Dr. Henry Cooke Windell, DMD Dentist Medicare: Medicare Enrolled Practice Location: 24850 Se Stark St, Gresham, OR 97030 Phone: 503-665-7882 Fax: 503-665-6983
Dr. James Robert Anderson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 19059 Se Division St, Gresham, OR 97030 Phone: 503-661-4711 Fax: 503-661-4777

Dr Nicole Therese Kemena, DDS - Medicare Dentist in Gresham, OR