Theodore A Brown, DDS is a medicare enrolled "Dentist - General Practice" provider in Mohall, North Dakota. His current practice location is
106 3rd Ave Se, Mohall, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 756-6655.
Theodore A Brown is licensed to practice in North Dakota (license number 1760) 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 1114013604.
Healthcare Provider's Profile
Full Name | Theodore A Brown |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 106 3rd Ave Se, Mohall, North Dakota |
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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: 1114013604
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 5395040687
- Enrollment ID: I20160224001887
Medical Identifiers
Medical identifiers for Theodore A Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114013604 | NPI | - | NPPES |
41000 | Medicaid | ND | |
901760 | Other | ND | DENTAL SERVICE CORPORATIO |
879031 | Other | ND | UNITED CONCORDIA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 1760 (North Dakota) | 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. Theodore A Brown 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 |
Theodore A Brown, DDS P.o. Box 188, Mohall, ND 58761-0188 Ph: (701) 756-6655 | Theodore A Brown, DDS 106 3rd Ave Se, Mohall, ND 58761 Ph: (701) 756-6655 |
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