Dr Roger Henry Grandgenett, DDS is a medicare enrolled "Dentist - General Practice" provider in Blue Earth, Minnesota. His current practice location is
621 E 7th St, Blue Earth, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(507) 526-2170.
Dr Roger Henry Grandgenett is licensed to practice in Minnesota (license number D10869) 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 1659395580.
Healthcare Provider's Profile
Full Name | Dr Roger Henry Grandgenett |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 621 E 7th St, Blue Earth, 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: 1659395580
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8729382338
- Enrollment ID: I20160202001052
Medical Identifiers
Medical identifiers for Dr Roger Henry Grandgenett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659395580 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | D10869 (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 Roger Henry Grandgenett 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 Roger Henry Grandgenett, DDS 621 E 7th St, Blue Earth, MN 56013-2516 Ph: (507) 526-2170 | Dr Roger Henry Grandgenett, DDS 621 E 7th St, Blue Earth, MN 56013-2516 Ph: (507) 526-2170 |
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