Edgar Mantilla, DDS - Medicare Dentist in Minneapolis, MN

Edgar Mantilla, DDS is a medicare enrolled "Dentist - General Practice" provider in Minneapolis, Minnesota. His current practice location is 2001 Bloomington Ave S, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 301-3433.

Edgar Mantilla is licensed to practice in Minnesota (license number D11889) 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 1538177944.

Contact Information

Edgar Mantilla, DDS
2001 Bloomington Ave S,
Minneapolis, MN 55404-3074
(612) 301-3433
(612) 627-4205

Map and Direction




Healthcare Provider's Profile

Full NameEdgar Mantilla
GenderMale
SpecialityDentist - General Practice
Location2001 Bloomington Ave S, Minneapolis, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538177944
  • Provider Enumeration Date: 08/03/2006
  • Last Update Date: 10/24/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 1355643446
  • Enrollment ID: I20160106001858

Medical Identifiers

Medical identifiers for Edgar Mantilla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538177944NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice D11889 (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. Edgar Mantilla 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 AddressPractice Location Address
Edgar Mantilla, DDS
2001 Bloomington Ave S,
Minneapolis, MN 55404-3074

Ph: (612) 301-3433
Edgar Mantilla, DDS
2001 Bloomington Ave S,
Minneapolis, MN 55404-3074

Ph: (612) 301-3433

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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