Dr Kenneth Wayne Vansickle Jr, DMD - Dentist in Santa Fe, NM

Dr Kenneth Wayne Vansickle Jr, DMD is a Dentist - General Practice based in Santa Fe, New Mexico. Dr Kenneth Wayne Vansickle Jr is licensed to practice in New Mexico (license number DD2304) and his current practice location is 2008 Saint Michaels Dr, Suite B, Santa Fe, New Mexico. He can be reached at his office (for appointments etc.) via phone at (505) 474-4993.

NPI number for Dr Kenneth Wayne Vansickle Jr is 1033196118 and his current mailing address is 16 Arcade Unit 198747, Nashville, Tennessee. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033196118.

Contact Information

Dr Kenneth Wayne Vansickle Jr, DMD
2008 Saint Michaels Dr, Suite B,
Santa Fe, NM 87505-7682
(505) 474-4993
(505) 474-4973

Map and Direction




Healthcare Provider's Profile

Full NameDr Kenneth Wayne Vansickle Jr
GenderMale
SpecialityDentist - General Practice
Location2008 Saint Michaels Dr, Santa Fe, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033196118
  • Provider Enumeration Date: 12/29/2005
  • Last Update Date: 04/23/2013

Medical Identifiers

Medical identifiers for Dr Kenneth Wayne Vansickle Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033196118NPI-NPPES
160531OtherNMUNITED CONCORDIA
9177992MedicaidNM
52823083MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice DD2304 (New Mexico)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 Kenneth Wayne Vansickle Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kenneth Wayne Vansickle Jr, DMD
16 Arcade Unit 198747,
Nashville, TN 37219-1994

Ph: (615) 750-0343
Dr Kenneth Wayne Vansickle Jr, DMD
2008 Saint Michaels Dr, Suite B,
Santa Fe, NM 87505-7682

Ph: (505) 474-4993

Reviews and Comments


Dentist in Santa Fe, NM

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Medicare: Not Enrolled in Medicare
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Phone: 505-473-5437    Fax: 505-438-3443

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.