Dr Richard Wallace Brown, DDS is a medicare enrolled "Dentist" provider in Balaton, Minnesota. His current practice location is
123 3rd St, Balaton, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(507) 734-2251.
Dr Richard Wallace Brown is licensed to practice in Minnesota (license number D10227) 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 1750457396.
Healthcare Provider's Profile
| Full Name | Dr Richard Wallace Brown |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 123 3rd St, Balaton, 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: 1750457396
- Provider Enumeration Date: 11/27/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 9931420460
- Enrollment ID: I20150609000808
Medical Identifiers
Medical identifiers for Dr Richard Wallace Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750457396 | NPI | - | NPPES |
| 7996351 | Other | MN | MN TAX ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | D10227 (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 Richard Wallace Brown 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 Richard Wallace Brown, DDS
Po Box 186, 123 3rd St,
Balaton, MN 56115
Ph: (507) 734-2251 | Dr Richard Wallace Brown, DDS
123 3rd St,
Balaton, MN 56115
Ph: (507) 734-2251 |
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