Nicklaus Clifford, DDS in Shawnee, OK - Medicare Dentist Provider

Nicklaus Clifford, DDS is a medicare enrolled "Dentist" provider in Shawnee, Oklahoma. His current practice location is 2510 E Independence St Ste 600, Shawnee, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 273-2002.

Nicklaus Clifford is licensed to practice in Oklahoma (license number 6632) 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 1013322312.

Contact Information

	Nicklaus Clifford, DDS
	2510 E Independence St Ste 600, Shawnee, OK 74804-1839
	(405) 273-2002
	(405) 273-0087

Healthcare Provider's Profile

Full Name	Nicklaus Clifford
Gender	Male
Speciality	Dentist
Location	2510 E Independence St Ste 600, Shawnee, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013322312
Provider Enumeration Date: 06/25/2014
Last Update Date: 06/25/2014

Medicare PECOS Information:

PECOS PAC ID: 8022384601
Enrollment ID: I20171026000798

Medical Identifiers

Medical identifiers for Nicklaus Clifford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013322312	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	6632 (Oklahoma)	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. Nicklaus Clifford 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
Nicklaus Clifford, DDS 2510 E Independence St Ste 600, Shawnee, OK 74804-1839 Ph: (405) 273-2002	Nicklaus Clifford, DDS 2510 E Independence St Ste 600, Shawnee, OK 74804-1839 Ph: (405) 273-2002

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Dentist in Shawnee, OK

Dr. Brock Wesley Nichols, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3703 N Kickapoo Ave, Shawnee, OK 74804 Phone: 405-275-0640 Fax: 405-225-3008
Dr. Anaita Nalladaru Mullasseril, B.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 504 Shawnee Mall Dr, Shawnee, OK 74804 Phone: 405-878-8899 Fax: 405-878-8896
Michael Bennett, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3703 N Kickapoo Ave, Shawnee, OK 74804 Phone: 405-275-0640 Fax: 405-225-3008
Dr. William Jack Mann, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 18 E Dunloup, Shawnee, OK 74804 Phone: 405-275-7520 Fax: 405-275-4787
Chase C Youngblood, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2025 S Gordon Cooper Dr, Shawnee, OK 74801 Phone: 405-307-9704
Dr. Jennifer Elizabeth Baisden, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 19 W Interstate Pkwy, Shawnee, OK 74804 Phone: 405-788-4701

Nicklaus Clifford, DDS - Medicare Dentist in Shawnee, OK