Dr Jonathan Isak Siverson, DDS - Medicare Dentist in White Bear Lake, MN

Dr Jonathan Isak Siverson, DDS is a medicare enrolled "Dentist - General Practice" provider in White Bear Lake, Minnesota. His current practice location is 4700 White Bear Pkwy, White Bear Lake, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 762-7677.

Dr Jonathan Isak Siverson is licensed to practice in Minnesota (license number D12410) 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 1205030491.

Contact Information

Dr Jonathan Isak Siverson, DDS
4700 White Bear Pkwy,
White Bear Lake, MN 55110-3336
(651) 762-7677
(651) 762-1861



Healthcare Provider's Profile

Full NameDr Jonathan Isak Siverson
GenderMale
SpecialityDentist - General Practice
Location4700 White Bear Pkwy, White Bear Lake, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205030491
  • Provider Enumeration Date: 06/12/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9931401510
  • Enrollment ID: I20160114000015

Medical Identifiers

Medical identifiers for Dr Jonathan Isak Siverson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205030491NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice D12410 (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 Jonathan Isak Siverson 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 Jonathan Isak Siverson, DDS
1291 Niles Ave,
Saint Paul, MN 55116-1632

Ph: (612) 360-1713
Dr Jonathan Isak Siverson, DDS
4700 White Bear Pkwy,
White Bear Lake, MN 55110-3336

Ph: (651) 762-7677

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› Verified 3 days ago


Dentist in White Bear Lake, MN

Dr. Thomas E Grzeskowiak, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1430 Highway 96, White Bear Lake, MN 55110
Phone: 651-426-9502    Fax: 651-653-2158
Dr. Charles Francis Kaminski Jr., DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 4754 Washington Square, White Bear Lake, MN 55110
Phone: 651-426-9499    Fax: 651-429-6255
Scott Arthur Kron, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 4706 Banning Ave, White Bear Lake, MN 55110
Phone: 651-429-3348    Fax: 651-429-3945
Dr. Kent C Gulden, D.D.S. P.A.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4437 Lake Ave S, White Bear Lake, MN 55110
Phone: 651-429-5265    Fax: 651-429-9630
Dr. Olga Ivett Castro, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 4801 Highway 61 N Ste 200, White Bear Lake, MN 55110
Phone: 651-429-3535    
Jordan Dittberner, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4700 White Bear Pkwy, White Bear Lake, MN 55110
Phone: 651-762-7677    
Dr. Wendy L. Sydlewski, DDS, MD.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2126 5th St, White Bear Lake, MN 55110
Phone: 651-426-9986    

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