Mr Brandon B Cotter, DDS is a medicare enrolled "Dentist - General Practice" provider in Ellendale, North Dakota. His current practice location is
210 Main St, #460, Ellendale, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 349-3636.
Mr Brandon B Cotter is licensed to practice in New Mexico (license number DD4576) 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 1215481577.
Healthcare Provider's Profile
Full Name | Mr Brandon B Cotter |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 210 Main St, Ellendale, North Dakota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215481577
- Provider Enumeration Date: 08/04/2016
- Last Update Date: 06/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 1850671454
- Enrollment ID: I20161216000154
Medical Identifiers
Medical identifiers for Mr Brandon B Cotter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215481577 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | DD4576 (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. Mr Brandon B Cotter 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 |
Mr Brandon B Cotter, DDS Po Box 460, Ellendale, ND 58436 Ph: (701) 349-3636 | Mr Brandon B Cotter, DDS 210 Main St, #460, Ellendale, ND 58436 Ph: (701) 349-3636 |
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