Dr Derek Conklin, DMD - Medicare Dentist in Sandy, OR

Dr Derek Conklin, DMD is a medicare enrolled "Dentist" provider in Sandy, Oregon. His current practice location is 17471 Shelley Ave Ste A, Sandy, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 668-4655.

Dr Derek Conklin is licensed to practice in Oregon (license number D8325) 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 1396868048.

Contact Information

Dr Derek Conklin, DMD
17471 Shelley Ave Ste A,
Sandy, OR 97055-8084
(503) 668-4655
(503) 668-8755

Map and Direction




Healthcare Provider's Profile

Full NameDr Derek Conklin
GenderMale
SpecialityDentist
Location17471 Shelley Ave Ste A, Sandy, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396868048
  • Provider Enumeration Date: 04/09/2007
  • Last Update Date: 02/28/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 3476868506
  • Enrollment ID: I20150818004927

Medical Identifiers

Medical identifiers for Dr Derek Conklin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396868048NPI-NPPES
243185MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist D8325 (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 Derek Conklin 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 Derek Conklin, DMD
17471 Shelley Ave,
Sandy, OR 97055-8084

Ph: (503) 668-4655
Dr Derek Conklin, DMD
17471 Shelley Ave Ste A,
Sandy, OR 97055-8084

Ph: (503) 668-4655

Reviews and Comments


Dentist in Sandy, OR

James Flerchinger, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 36840 Industrial Way, Sandy, OR 97055
Phone: 503-668-8301    
Dr. Benny Damian, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 36840 Industrial Way, Sandy, OR 97055
Phone: 503-668-8301    
Dr. Kenneth George Claggett, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 39055 Pioneer Blvd, Sandy, OR 97055
Phone: 503-668-7441    Fax: 503-668-8049
Aaron Wikle, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 17471 Shelley Ave, Suite A, Sandy, OR 97055
Phone: 503-668-4655    
Oscar Luis Contreras, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 36840 Industrial Way, Sandy, OR 97055
Phone: 503-668-8301    
Dr. Bruce Alan Biermann, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 39870 Se Pleasent St., Sandy, OR 97055
Phone: 503-668-7421    Fax: 503-668-7421

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.