Mark Moorse, DDS is a medicare enrolled "Dentist - General Practice" provider in Olivia, Minnesota. His current practice location is
907 W Lincoln Ave, Olivia, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(320) 523-1441.
Mark Moorse is licensed to practice in Minnesota (license number D11030) 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 1043548340.
Healthcare Provider's Profile
Full Name | Mark Moorse |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 907 W Lincoln Ave, Olivia, 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: 1043548340
- Provider Enumeration Date: 11/24/2009
- Last Update Date: 11/24/2009
Medicare PECOS Information:
- PECOS PAC ID: 0345560637
- Enrollment ID: I20170331001058
Medical Identifiers
Medical identifiers for Mark Moorse such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043548340 | NPI | - | NPPES |
120523400 | Medicaid | MN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | D11030 (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. Mark Moorse 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 |
Mark Moorse, DDS 907 W Lincoln Ave, Olivia, MN 56277-4215 Ph: (320) 523-1441 | Mark Moorse, DDS 907 W Lincoln Ave, Olivia, MN 56277-4215 Ph: (320) 523-1441 |
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