Martin Belanger, is a
Oral & Maxillofacial Surgery based in Fargo, North Dakota. Martin Belanger is licensed to practice in North Dakota (license number 2085) and his current practice location is
1720 University Dr S, Fargo, North Dakota. He can be reached at his office (for appointments etc.) via phone at
(701) 280-4150.
NPI number for Martin Belanger is 1720241615 and his current mailing address is Po Box 2010, Fargo, North Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720241615.
Healthcare Provider's Profile
| Full Name | Martin Belanger |
|---|
| Gender | Male |
|---|
| Speciality | Oral & Maxillofacial Surgery |
|---|
| Location | 1720 University Dr S, Fargo, North Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1720241615
- Provider Enumeration Date: 07/09/2008
- Last Update Date: 12/29/2011
Medical Identifiers
Medical identifiers for Martin Belanger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720241615 | NPI | - | NPPES |
| 1720241615 | Medicaid | MN | |
| 41543 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 57097 (California) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 2085 (North Dakota) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | D12849 (Minnesota) | Secondary |
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. Martin Belanger is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Martin Belanger,
Po Box 2010,
Fargo, ND 58122-0605
Ph: () - | Martin Belanger,
1720 University Dr S,
Fargo, ND 58103-4940
Ph: (701) 280-4150 |
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