Crystal Kelso, DMD in Lincoln City, OR - Medicare Dentist Provider

Crystal Kelso, DMD is a medicare enrolled "Dentist - General Practice" provider in Lincoln City, Oregon. Her current practice location is 1105 Se Jetty Ave, #b, Lincoln City, Oregon. You can reach out to her office (for appointments etc.) via phone at (855) 433-6825.

Crystal Kelso is licensed to practice in Oregon (license number D10498) 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 1790138642.

Contact Information

	Crystal Kelso, DMD
	1105 Se Jetty Ave, #b, Lincoln City, OR 97367-2632
	(855) 433-6825
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Crystal Kelso
Gender	Female
Speciality	Dentist - General Practice
Location	1105 Se Jetty Ave, Lincoln City, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790138642
Provider Enumeration Date: 07/15/2016
Last Update Date: 07/15/2016

Medicare PECOS Information:

PECOS PAC ID: 2668768441
Enrollment ID: I20160902000568

Medical Identifiers

Medical identifiers for Crystal Kelso such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790138642	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	D10498 (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. Crystal Kelso 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
Crystal Kelso, DMD 6950 Ne Campus Way, Hillsboro, OR 97124-5611 Ph: (503) 952-2125	Crystal Kelso, DMD 1105 Se Jetty Ave, #b, Lincoln City, OR 97367-2632 Ph: (855) 433-6825

Reviews and Comments

Dentist in Lincoln City, OR

James L. Garrett, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1105 Se Jetty Ave, B, Lincoln City, OR 97367 Phone: 541-994-3528
Joseph Robert Bullock, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2825 Ne West Devils Lake Rd, Lincoln City, OR 97367 Phone: 541-994-3033 Fax: 541-994-6489
Dr. Paul M. Jensen, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1120 Se 1st St, Lincoln City, OR 97367 Phone: 541-994-8935 Fax: 541-994-9270
Dr. Jane Malin Espeseth, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 2825 Ne W Devils Lk Rd, Lincoln City, OR 97367 Phone: 541-994-3033 Fax: 541-994-6489
Dr. Kayla Eliott, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2825 Ne West Devils Lake Rd, Lincoln City, OR 97367 Phone: 541-210-8217
Dr. Heather R Flowers, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3173 Ne West Devils Lake Road, Lincoln City, OR 97367 Phone: 541-994-8135 Fax: 541-994-8136
Laura Jacobs Mckniff, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 2825 Ne West Devils Lake Rd, Lincoln City, OR 97367 Phone: 541-227-2870

Crystal Kelso, DMD - Medicare Dentist in Lincoln City, OR