Dr Kelly Leigh Bumgarner, DDS in Alexandria, MN - Medicare Dentist Provider

Dr Kelly Leigh Bumgarner, DDS is a medicare enrolled "Dentist" provider in Alexandria, Minnesota. Her current practice location is 2633 Jefferson Street, Suite 801, Alexandria, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 762-1717.

Dr Kelly Leigh Bumgarner is licensed to practice in Minnesota (license number D12536) 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 1033372230.

Contact Information

	Dr Kelly Leigh Bumgarner, DDS
	2633 Jefferson Street, Suite 801, Alexandria, MN 56308
	(320) 762-1717
	Not Available

Healthcare Provider's Profile

Full Name	Dr Kelly Leigh Bumgarner
Gender	Female
Speciality	Dentist
Location	2633 Jefferson Street, Alexandria, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033372230
Provider Enumeration Date: 07/08/2008
Last Update Date: 07/08/2008

Medicare PECOS Information:

PECOS PAC ID: 8224349568
Enrollment ID: I20150612001767

Medical Identifiers

Medical identifiers for Dr Kelly Leigh Bumgarner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033372230	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	D12536 (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 Kelly Leigh Bumgarner 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
Dr Kelly Leigh Bumgarner, DDS 2380 County Road 9 Ne, Nelson, MN 56355-8167 Ph: (320) 491-4234	Dr Kelly Leigh Bumgarner, DDS 2633 Jefferson Street, Suite 801, Alexandria, MN 56308 Ph: (320) 762-1717

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Dentist in Alexandria, MN

Brian Riegel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2209 Jefferson St Ste 101a, Alexandria, MN 56308 Phone: 320-815-5711 Fax: 320-335-2619
Dr. Tera Boyd, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2209 Jefferson St, Alexandria, MN 56308 Phone: 320-815-5711
Dr. Shawn Michael Spoden, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3015 Highway 29 S, Alexandria, MN 56308 Phone: 320-763-5052 Fax: 320-763-5053
Dr. Paul M Odland, Dentist Medicare: Medicare Enrolled Practice Location: 2306 S Broadway St, Alexandria, MN 56308 Phone: 320-762-5216
Dr. Rick D Thiery, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 111 10th Ave E, Alexandria, MN 56308 Phone: 320-763-3113
Dr. Dean Richard Anderson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1400 Hawthorne, Ste 2, Alexandria, MN 56308 Phone: 320-762-2122

Dr Kelly Leigh Bumgarner, DDS - Medicare Dentist in Alexandria, MN