Dr Carlos Ernesto Campodonico, DDS - Medicare Dentist in Blaine, MN

Dr Carlos Ernesto Campodonico, DDS is a medicare enrolled "Dentist - General Practice" provider in Blaine, Minnesota. His current practice location is 11806 Aberdeen St Ne Ste 150, Blaine, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 786-1545.

Dr Carlos Ernesto Campodonico is licensed to practice in Minnesota (license number D12159) 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 1154546877.

Contact Information

Dr Carlos Ernesto Campodonico, DDS
11806 Aberdeen St Ne Ste 150,
Blaine, MN 55449-4748
(763) 786-1545
(763) 786-2939



Healthcare Provider's Profile

Full NameDr Carlos Ernesto Campodonico
GenderMale
SpecialityDentist - General Practice
Location11806 Aberdeen St Ne Ste 150, Blaine, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154546877
  • Provider Enumeration Date: 04/16/2007
  • Last Update Date: 08/02/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1951586569
  • Enrollment ID: I20160302002228

Medical Identifiers

Medical identifiers for Dr Carlos Ernesto Campodonico such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154546877NPI-NPPES
767695000MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice D12159 (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. Dr Carlos Ernesto Campodonico 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
Dr Carlos Ernesto Campodonico, DDS
11806 Aberdeen St Ne Ste 150,
Blaine, MN 55449-4748

Ph: (763) 786-1545
Dr Carlos Ernesto Campodonico, DDS
11806 Aberdeen St Ne Ste 150,
Blaine, MN 55449-4748

Ph: (763) 786-1545

News Archive

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› Verified 5 days ago


Dentist in Blaine, MN

Dr. Jeffrey Mark Ruhlmann,
Dentist
Medicare: Medicare Enrolled
Practice Location: 12904 Central Ave Ne, Blaine, MN 55434
Phone: 763-755-1330    
Dr. Landon Thomas Case, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 10729 Town Square Drive Ne, Ste 100, Blaine, MN 55449
Phone: 763-225-1865    
Dr. Stephen Michael Sawyer, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 12904 Central Ave Ne, Blaine, MN 55434
Phone: 763-755-1330    Fax: 763-755-4305
Dr. Anissa Jane Kozlowski, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 12904 Central Ave Ne, Blaine, MN 55434
Phone: 763-755-1330    Fax: 763-755-4305
Dr. Karen Dizon Competente, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 4255 Pheasant Ridge Dr Ne, Suite 407, Blaine, MN 55449
Phone: 763-225-6100    Fax: 763-225-6101
Dr. Thien Quang Pham, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 12904 Central Ave Ne, Blaine, MN 55434
Phone: 651-621-4515    
Dr. Shalini Mittal, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1384 109th Ave Ne Ste 200, Blaine, MN 55434
Phone: 763-757-6000    

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