Agnes Dizon Hill, DMD in St Louis Park, MN

Agnes Dizon Hill, DMD is a medicare enrolled "Dentist - General Practice" provider in St Louis Park, Minnesota. Her current practice location is 1665 Utica Ave S Ste 100, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 541-2700.

Agnes Dizon Hill is licensed to practice in Minnesota (license number D12339) 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 1225193691.

Contact Information

	Agnes Dizon Hill, DMD
	1665 Utica Ave S Ste 100, St Louis Park, MN 55416-3476
	(952) 541-2700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Agnes Dizon Hill
Gender	Female
Speciality	Dentist - General Practice
Location	1665 Utica Ave S Ste 100, St Louis Park, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225193691
Provider Enumeration Date: 12/26/2006
Last Update Date: 08/30/2023

Medicare PECOS Information:

PECOS PAC ID: 6305149998
Enrollment ID: I20230919001508

Medical Identifiers

Medical identifiers for Agnes Dizon Hill such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225193691	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	D12339 (Minnesota)	Secondary
1223G0001X	Dentist - General Practice	D12339 (Minnesota)	Primary

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. Agnes Dizon Hill allows following entities to bill medicare on her behalf.

Entity Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417

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. Agnes Dizon Hill 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
Agnes Dizon Hill, DMD 7333 Drew Ave N, Brooklyn Park, MN 55443-3537 Ph: () -	Agnes Dizon Hill, DMD 1665 Utica Ave S Ste 100, St Louis Park, MN 55416-3476 Ph: (952) 541-2700

Reviews and Comments

Dentist in St Louis Park, MN

Dr. Andrea K Ruby, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3345 Dakota Ave S, St Louis Park, MN 55416 Phone: 952-929-9450
Kristin Marie Rivers, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5000 W 36th St Ste 250, St Louis Park, MN 55416 Phone: 612-467-6555
Dr. Christina Sorensen, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5000 W 36th St Ste 250, St Louis Park, MN 55416 Phone: 952-920-3700
Dr. Duane E Evans, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4047 Brookside Ave, St Louis Park, MN 55416 Phone: 612-823-6483
Dr. Steven Mark Posnick, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3400 Dakota Avenue South, St Louis Park, MN 55416 Phone: 952-929-0459 Fax: 952-929-3589
Thu Doan, Dentist Medicare: Not Enrolled in Medicare Practice Location: 4959 Excelsior Blvd Ste 200, St Louis Park, MN 55416 Phone: 952-260-5323
Salma M Helal, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5000 W 36th St Ste 250, St Louis Park, MN 55416 Phone: 952-920-3700 Fax: 952-926-1601

Agnes Dizon Hill, DMD - Medicare Dentist in St Louis Park, MN