Dr Duaine Bradley Dodds, DDS is a medicare enrolled "Dentist - General Practice" provider in Chanhasen, Minnesota. His current practice location is
7770 Dell Road, Suite 160, Chanhasen, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(952) 944-3411.
Dr Duaine Bradley Dodds is licensed to practice in Minnesota (license number 9017) 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 1558452953.
Healthcare Provider's Profile
| Full Name | Dr Duaine Bradley Dodds |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 7770 Dell Road, Chanhasen, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1558452953
- Provider Enumeration Date: 09/28/2006
- Last Update Date: 08/26/2008
Medicare PECOS Information:
- PECOS PAC ID: 3375864358
- Enrollment ID: I20150602002423
Medical Identifiers
Medical identifiers for Dr Duaine Bradley Dodds such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558452953 | NPI | - | NPPES |
| 9723200000 | Other | MN | MEDICAL ASSISTANCE |
| 45131DO | Other | MN | MEDICAL ASSISTANCE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 9017 (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 Duaine Bradley Dodds 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 Duaine Bradley Dodds, DDS
7770 Dell Rd, Suite 160,
Chanhassen, MN 55317
Ph: (952) 944-3411 | Dr Duaine Bradley Dodds, DDS
7770 Dell Road, Suite 160,
Chanhasen, MN 55317
Ph: (952) 944-3411 |
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