Katelyn Nichols, in Salem, OR - Medicare Dentist Provider

Katelyn Nichols, is a medicare enrolled "Dentist" provider in Salem, Oregon. Her current practice location is 1880 Lancaster Dr Ne Ste 121, Salem, Oregon. You can reach out to her office (for appointments etc.) via phone at (971) 600-3498.

Katelyn Nichols is licensed to practice in Oregon (license number D10277) 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 1073997086.

Contact Information

	Katelyn Nichols,
	1880 Lancaster Dr Ne Ste 121, Salem, OR 97305-1069
	(971) 600-3498
	Not Available

Healthcare Provider's Profile

Full Name	Katelyn Nichols
Gender	Female
Speciality	Dentist
Location	1880 Lancaster Dr Ne Ste 121, Salem, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073997086
Provider Enumeration Date: 07/20/2015
Last Update Date: 03/21/2022

Medicare PECOS Information:

PECOS PAC ID: 7315246733
Enrollment ID: I20160505001468

Medical Identifiers

Medical identifiers for Katelyn Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073997086	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223D0001X	Dentist - Dental Public Health	D10277 (Oregon)	Secondary
122300000X	Dentist	D10277 (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. Katelyn Nichols 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
Katelyn Nichols, 1880 Lancaster Dr Ne Ste 121, Salem, OR 97305-1069 Ph: (971) 600-3498	Katelyn Nichols, 1880 Lancaster Dr Ne Ste 121, Salem, OR 97305-1069 Ph: (971) 600-3498

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Dentist in Salem, OR

Trenton Young, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1257 Wallace Rd Nw, Salem, OR 97304 Phone: 503-363-0292
Dr. Robert Burton White, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 5135 Skyline Rd S, Salem, OR 97306 Phone: 503-588-6560
Dr. Jefferson B Gourley, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3490 Lancaster Dr Ne, Salem, OR 97305 Phone: 855-433-6825
Mr. Steven Michael Peck, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2411 Grear St Ne, Salem, OR 97301 Phone: 503-362-6456
Dr. Thomas Rado Palandech, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3750 Chemawa Rd Ne, Salem, OR 97305 Phone: 503-304-1631
Dr. Steven Donald Cowgill, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2019 State St, Salem, OR 97301 Phone: 503-363-9637 Fax: 503-363-3274
Kristen Marie Smith, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 876 Welcome Way Se, Salem, OR 97302 Phone: 503-363-0031 Fax: 503-363-0827

Katelyn Nichols, - Medicare Dentist in Salem, OR