Dr Wyatt William Wilson, DMD - Medicare Dentist in Oregon City, OR

Dr Wyatt William Wilson, DMD is a medicare enrolled "Dentist - General Practice" provider in Oregon City, Oregon. His current practice location is 19029 Beavercreek Rd, Oregon City, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 941-3064.

Dr Wyatt William Wilson is licensed to practice in Oregon (license number D10058) 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 1023423639.

Contact Information

Dr Wyatt William Wilson, DMD
19029 Beavercreek Rd,
Oregon City, OR 97045-9537
(503) 941-3064
(503) 941-3075



Healthcare Provider's Profile

Full NameDr Wyatt William Wilson
GenderMale
SpecialityDentist - General Practice
Location19029 Beavercreek Rd, Oregon City, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023423639
  • Provider Enumeration Date: 06/23/2014
  • Last Update Date: 04/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2365718723
  • Enrollment ID: I20171030003081

Medical Identifiers

Medical identifiers for Dr Wyatt William Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023423639NPI-NPPES
500675716MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice D10058 (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 Wyatt William Wilson 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 Wyatt William Wilson, DMD
7320 Sw Hunziker Rd Ste 300,
Portland, OR 97223-2302

Ph: (503) 941-3077
Dr Wyatt William Wilson, DMD
19029 Beavercreek Rd,
Oregon City, OR 97045-9537

Ph: (503) 941-3064

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Dentist in Oregon City, OR

Dr. Allen B Kerr, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 1001 Molalla Ave, Suite 107, Oregon City, OR 97045
Phone: 503-657-7830    Fax: 503-657-5059
Dr. Lloyd Garrett Noel, D.M.D.. MS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 911 Main St, Suite 160, Oregon City, OR 97045
Phone: 503-655-5125    Fax: 503-655-5680
Douglas Brian Retzlaff, DMD, PC
Dentist
Medicare: Medicare Enrolled
Practice Location: 1104 Molalla Ave, Oregon City, OR 97045
Phone: 503-656-7131    Fax: 503-656-6382
Tiffany Huang, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2206 Kaen Rd, Oregon City, OR 97045
Phone: 503-722-6777    
Stephen C Smith, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1425 Beavercreek Rd, Oregon City, OR 97045
Phone: 503-655-8471    Fax: 503-655-8595
Dr. Alexander C.y. Lin, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1515 Seventh St Suite B, Oregon City, OR 97045
Phone: 503-656-8799    Fax: 503-655-0971

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