Emily H Nieto, DMD, MPH in Flagstaff, AZ - Medicare Dentist Provider

Emily H Nieto, DMD, MPH is a medicare enrolled "Dentist" provider in Flagstaff, Arizona. Her current practice location is 1024 N San Francisco St Ste 101, Flagstaff, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 779-0395.

Emily H Nieto is licensed to practice in Arizona (license number D011710) 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 1033527155.

Contact Information

	Emily H Nieto, DMD, MPH
	1024 N San Francisco St Ste 101, Flagstaff, AZ 86001-3266
	(928) 779-0395
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Emily H Nieto
Gender	Female
Speciality	Dentist
Location	1024 N San Francisco St Ste 101, Flagstaff, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033527155
Provider Enumeration Date: 08/01/2014
Last Update Date: 03/04/2026

Medicare PECOS Information:

PECOS PAC ID: 0840560314
Enrollment ID: I20171129000722

Medical Identifiers

Medical identifiers for Emily H Nieto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033527155	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	D011710 (Arizona)	Primary
1223G0001X	Dentist - General Practice	DD4122 (New Mexico)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Emily H Nieto allows following entities to bill medicare on her behalf.

Entity Name	Dhhs,phs,naihs Gallup Indian Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840

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. Emily H Nieto 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
Emily H Nieto, DMD, MPH 2634 E Elder Dr, Flagstaff, AZ 86004-3809 Ph: (505) 713-2508	Emily H Nieto, DMD, MPH 1024 N San Francisco St Ste 101, Flagstaff, AZ 86001-3266 Ph: (928) 779-0395

Reviews and Comments

Dentist in Flagstaff, AZ

Dr. William Charles Gaylord, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 713 N Beaver St, Flagstaff, AZ 86001 Phone: 928-774-0881 Fax: 928-774-2029
Dr. Owen J Hibbert, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 315 W Cherry Ave, Flagstaff, AZ 86001 Phone: 928-774-4199
Thomas T Barnes, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2500 N Rose St, Flagstaff, AZ 86004 Phone: 928-213-6121
David W Ho, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1024 N San Francisco St Ste 101, Flagstaff, AZ 86001 Phone: 928-779-0385 Fax: 928-779-6487
Brandon John Tilts, DDS Dentist Medicare: Medicare Enrolled Practice Location: 518 N Beaver St, Suite A, Flagstaff, AZ 86001 Phone: 928-774-4705 Fax: 928-213-9665
Dr. Vaughn Milton Oliver, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1953 E Y X Ranch Rd, Flagstaff, AZ 86001 Phone: 928-774-0586

Emily H Nieto, DMD, MPH - Medicare Dentist in Flagstaff, AZ