Paul Anthony Roggow, DDS is a medicare enrolled "Dentist" provider in Jackson, Minnesota. His current practice location is
604 Second Street, Jackson, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(507) 847-3910.
Paul Anthony Roggow is licensed to practice in Minnesota (license number 9644) 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 1285978221.
Healthcare Provider's Profile
Full Name | Paul Anthony Roggow |
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Gender | Male |
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Speciality | Dentist |
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Location | 604 Second Street, Jackson, 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: 1285978221
- Provider Enumeration Date: 11/15/2012
- Last Update Date: 11/15/2012
Medicare PECOS Information:
- PECOS PAC ID: 9537486568
- Enrollment ID: I20150331001872
Medical Identifiers
Medical identifiers for Paul Anthony Roggow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285978221 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 9644 (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. Paul Anthony Roggow 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 |
Paul Anthony Roggow, DDS 604 Second Street, Jackson, MN 56143 Ph: (507) 847-3910 | Paul Anthony Roggow, DDS 604 Second Street, Jackson, MN 56143 Ph: (507) 847-3910 |
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