Roger Ettel, DDS, MS in Minneapolis, MN - Medicare Dentist Provider

Roger Ettel, DDS, MS is a medicare enrolled "Dentist" provider in Minneapolis, Minnesota. His current practice location is 701 Park Ave, P7, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 873-2370.

Roger Ettel is licensed to practice in Minnesota (license number 08998) 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 1942251574.

Contact Information

	Roger Ettel, DDS, MS
	701 Park Ave, P7, Minneapolis, MN 55415-1623
	(612) 873-2370
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Roger Ettel
Gender	Male
Speciality	Dentist
Location	701 Park Ave, 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: 1942251574
Provider Enumeration Date: 05/16/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1850450727
Enrollment ID: I20081106000597

Medical Identifiers

Medical identifiers for Roger Ettel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942251574	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	08998 (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. Roger Ettel allows following entities to bill medicare on his behalf.

Entity Name	Hennepin Healthcare System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033138136 PECOS PAC ID: 4789684861 Enrollment ID: O20070207000467

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. Roger Ettel 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
Roger Ettel, DDS, MS 7001 Park Ave, Minneapolis, MN 55423-3260 Ph: () -	Roger Ettel, DDS, MS 701 Park Ave, P7, Minneapolis, MN 55415-1623 Ph: (612) 873-2370

Reviews and Comments

Dentist in Minneapolis, MN

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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

Roger Ettel, DDS, MS - Medicare Dentist in Minneapolis, MN