Long Thao, DDS in Minneapolis, MN - Medicare Dentist Provider

Long Thao, DDS is a medicare enrolled "Dentist" provider in Minneapolis, Minnesota. His current practice location is 4243 4th Ave S, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 822-9030.

Long Thao is licensed to practice in Minnesota (license number D13413) 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 1457765349.

Contact Information

	Long Thao, DDS
	4243 4th Ave S, Minneapolis, MN 55409-2113
	(612) 822-9030
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Long Thao
Gender	Male
Speciality	Dentist
Location	4243 4th Ave S, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457765349
Provider Enumeration Date: 06/18/2014
Last Update Date: 06/18/2014

Medicare PECOS Information:

PECOS PAC ID: 9537483706
Enrollment ID: I20150116000147

Medical Identifiers

Medical identifiers for Long Thao such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457765349	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	D13413 (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. Long Thao allows following entities to bill medicare on his behalf.

Entity Name	Southside Community Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538137757 PECOS PAC ID: 8921027228 Enrollment ID: O20051116000311

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. Long Thao 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
Long Thao, DDS 4243 4th Ave S, Minneapolis, MN 55409-2113 Ph: (612) 822-9030	Long Thao, DDS 4243 4th Ave S, Minneapolis, MN 55409-2113 Ph: (612) 822-9030

Reviews and Comments

Dentist in Minneapolis, MN

Dr. Brian J Chase, DMD Dentist Medicare: Medicare Enrolled Practice Location: 515 Delaware St Se, Minneapolis, MN 55455 Phone: 617-895-7348
Dr. Jennifer Lynn Bonamici, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 515 Delaware St Se, Minneapolis, MN 55455 Phone: 612-625-5000
Joanna Christine Bourain, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1313 Penn Ave N, Minneapolis, MN 55411 Phone: 805-729-0090
Dr. Michael W. Lehnert, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 515 Delaware St Se, 7th Floor, Mmhst, Minneapolis, MN 55455 Phone: 612-624-7133 Fax: 612-624-2669
Luke Mcmahon, DDS Dentist Medicare: Accepting Medicare Assignments Practice Location: 606 24th Ave S, Minneapolis, MN 55454 Phone: 612-659-8689
Dr. Brett Andrew Voegele, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 515 Delaware St Se, 7th Floor, Moos Tower, Minneapolis, MN 55455 Phone: 612-624-8600
Julio Sotillo Rodriguez, D.D.S., PH.D. Dentist Medicare: Medicare Enrolled Practice Location: 701 25th Ave S, Suite 400, Minneapolis, MN 55454 Phone: 612-625-3249

Long Thao, DDS - Medicare Dentist in Minneapolis, MN