Dr Mark Allen Roettger, DDS in Lake Elmo, MN

Dr Mark Allen Roettger, DDS is a medicare enrolled "Dentist" provider in Lake Elmo, Minnesota. His current practice location is 12425 55th Street N, Suite B, Lake Elmo, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 439-0322.

Dr Mark Allen Roettger is licensed to practice in Minnesota (license number 9426) 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 1356325906.

Contact Information

	Dr Mark Allen Roettger, DDS
	12425 55th Street N, Suite B, Lake Elmo, MN 55042-4450
	(651) 439-0322
	(651) 439-2201

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mark Allen Roettger
Gender	Male
Speciality	Dentist
Location	12425 55th Street N, Lake Elmo, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356325906
Provider Enumeration Date: 12/06/2005
Last Update Date: 05/11/2011

Medicare PECOS Information:

PECOS PAC ID: 1153506472
Enrollment ID: I20110502000754

Medical Identifiers

Medical identifiers for Dr Mark Allen Roettger such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356325906	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	9426 (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. Dr Mark Allen Roettger allows following entities to bill medicare on his behalf.

Entity Name	University Of Minnesota Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532

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 Mark Allen Roettger 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 Mark Allen Roettger, DDS 12425 55th Street N, Suite B, Lake Elmo, MN 55042-4450 Ph: (651) 439-0322	Dr Mark Allen Roettger, DDS 12425 55th Street N, Suite B, Lake Elmo, MN 55042-4450 Ph: (651) 439-0322

Reviews and Comments

Dentist in Lake Elmo, MN

Dr. Dennis James Grabowski, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8981 Highway 5, Lake Elmo, MN 55042 Phone: 651-777-1337 Fax: 651-748-0480
Dr. David Gordon Naegeli, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8980 Hudson Blvd N, Lake Elmo, MN 55042 Phone: 651-735-9057 Fax: 651-501-1471
Dr. Patrick James Mcgann, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8981 33rd St. North, Lake Elmo, MN 55042 Phone: 651-777-1337 Fax: 651-748-0480
Dr. Fatima A Tiwana, BDS Dentist Medicare: Medicare Enrolled Practice Location: 8515 Eagle Point Blvd Ste 200, Lake Elmo, MN 55042 Phone: 651-523-9950
Dr. Heather J Schute, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8980 Hudson Blvd N, Lake Elmo, MN 55042 Phone: 651-735-9057
Dr. Elena Lozne, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8980 Hudson Blvd N, Lake Elmo, MN 55042 Phone: 651-735-9057 Fax: 651-501-1471

Dr Mark Allen Roettger, DDS - Medicare Dentist in Lake Elmo, MN