Dr Brandon Lee Ulstad, DDS is a medicare enrolled "Dentist" provider in Madison, Minnesota. His current practice location is
622 3rd St, Madison, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(320) 598-7433.
Dr Brandon Lee Ulstad is licensed to practice in Minnesota (license number 11578) 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 1376587907.
Healthcare Provider's Profile
Full Name | Dr Brandon Lee Ulstad |
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Gender | Male |
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Speciality | Dentist |
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Location | 622 3rd St, Madison, Minnesota |
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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: 1376587907
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9739400284
- Enrollment ID: I20150609001171
Medical Identifiers
Medical identifiers for Dr Brandon Lee Ulstad such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376587907 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 11578 (Minnesota) | 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 Brandon Lee Ulstad 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 |
Dr Brandon Lee Ulstad, DDS 622 3rd St, Po Box 10, Madison, MN 56256 Ph: (320) 598-7433 | Dr Brandon Lee Ulstad, DDS 622 3rd St, Madison, MN 56256 Ph: (320) 598-7433 |
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