Agnes Dizon Hill, DMD - Medicare Dentist in St Louis Park, MN

Agnes Dizon Hill, DMD is a medicare enrolled "Dentist - General Practice" provider in St Louis Park, Minnesota. Her current practice location is 1665 Utica Ave S Ste 100, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 541-2700.

Agnes Dizon Hill is licensed to practice in Minnesota (license number D12339) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1225193691.

Contact Information

Agnes Dizon Hill, DMD
1665 Utica Ave S Ste 100,
St Louis Park, MN 55416-3476
(952) 541-2700
Not Available



Healthcare Provider's Profile

Full NameAgnes Dizon Hill
GenderFemale
SpecialityDentist - General Practice
Location1665 Utica Ave S Ste 100, St Louis Park, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225193691
  • Provider Enumeration Date: 12/26/2006
  • Last Update Date: 08/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6305149998
  • Enrollment ID: I20230919001508

Medical Identifiers

Medical identifiers for Agnes Dizon Hill such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225193691NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist D12339 (Minnesota)Secondary
1223G0001XDentist - General Practice D12339 (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. Agnes Dizon Hill allows following entities to bill medicare on her behalf.
Entity NameGroup Health Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417

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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. Agnes Dizon Hill 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 AddressPractice Location Address
Agnes Dizon Hill, DMD
7333 Drew Ave N,
Brooklyn Park, MN 55443-3537

Ph: () -
Agnes Dizon Hill, DMD
1665 Utica Ave S Ste 100,
St Louis Park, MN 55416-3476

Ph: (952) 541-2700

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Dentist in St Louis Park, MN

Dr. Andrea K Ruby, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3345 Dakota Ave S, St Louis Park, MN 55416
Phone: 952-929-9450    
Kristin Marie Rivers, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 5000 W 36th St Ste 250, St Louis Park, MN 55416
Phone: 612-467-6555    
Dr. Christina Sorensen, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 5000 W 36th St Ste 250, St Louis Park, MN 55416
Phone: 952-920-3700    
Dr. Duane E Evans, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4047 Brookside Ave, St Louis Park, MN 55416
Phone: 612-823-6483    
Dr. Steven Mark Posnick, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3400 Dakota Avenue South, St Louis Park, MN 55416
Phone: 952-929-0459    Fax: 952-929-3589
Thu Doan,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4959 Excelsior Blvd Ste 200, St Louis Park, MN 55416
Phone: 952-260-5323    
Salma M Helal, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 5000 W 36th St Ste 250, St Louis Park, MN 55416
Phone: 952-920-3700    Fax: 952-926-1601

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