Kathleen Mattison, in Cook, MN - Medicare Dentist Provider

Kathleen Mattison, is a medicare enrolled "Dentist" provider in Cook, Minnesota. Her current practice location is 12 S River St, Cook, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 361-3149.

Kathleen Mattison is licensed to practice in Minnesota (license number D13519) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407239833.

Contact Information

	Kathleen Mattison,
	12 S River St, Cook, MN 55723-8131
	(218) 361-3149
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kathleen Mattison
Gender	Female
Speciality	Dentist
Location	12 S River St, Cook, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407239833
Provider Enumeration Date: 07/02/2015
Last Update Date: 07/02/2015

Medicare PECOS Information:

PECOS PAC ID: 5092002923
Enrollment ID: I20160921000839

Medical Identifiers

Medical identifiers for Kathleen Mattison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407239833	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	D13519 (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. Kathleen Mattison 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
Kathleen Mattison, 8540 215th St N, Forest Lake, MN 55025-9114 Ph: (651) 341-1521	Kathleen Mattison, 12 S River St, Cook, MN 55723-8131 Ph: (218) 361-3149

Reviews and Comments

Dentist in Cook, MN

Mrs. Harpreet Kaur, DDS Dentist Medicare: Medicare Enrolled Practice Location: Scenic River Health Services, 20 Fifth St Se, Cook, MN 55723 Phone: 218-666-5102 Fax: 218-666-5099
Dr. Louis Frank Pius, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 20 5th St Se, Cook, MN 55723 Phone: 218-666-5958 Fax: 218-666-5099
Timothy Sprouls, DDS Dentist Medicare: Medicare Enrolled Practice Location: 20 5th St Se, Cook, MN 55723 Phone: 218-666-5958
Duane Mathew Sushoreba, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 20 5th St Se, Cook, MN 55723 Phone: 218-666-5958 Fax: 218-666-5099
Craig Martin Mrosak, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 20 5th St Se, Cook, MN 55723 Phone: 218-666-5958 Fax: 218-666-5099
Dr. Michael Morris Talberg, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 20 5th St Se, Cook, MN 55723 Phone: 218-666-5958

Kathleen Mattison, - Medicare Dentist in Cook, MN