Dr Kent Edward Cassidy, DDS in Minnetonka, MN - Medicare Dentist Provider

Dr Kent Edward Cassidy, DDS is a medicare enrolled "Dentist" provider in Minnetonka, Minnesota. His current practice location is 14418 Excelsior Blvd, Minnetonka, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 935-5212.

Dr Kent Edward Cassidy is licensed to practice in Minnesota (license number D9306) 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 1093796005.

Contact Information

	Dr Kent Edward Cassidy, DDS
	14418 Excelsior Blvd, Minnetonka, MN 55345-5820
	(952) 935-5212
	(952) 935-1391

Healthcare Provider's Profile

Full Name	Dr Kent Edward Cassidy
Gender	Male
Speciality	Dentist
Location	14418 Excelsior Blvd, Minnetonka, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093796005
Provider Enumeration Date: 11/07/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6305140716
Enrollment ID: I20160205000003

Medical Identifiers

Medical identifiers for Dr Kent Edward Cassidy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093796005	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	D9306 (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 Kent Edward Cassidy 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 Kent Edward Cassidy, DDS 14418 Excelsior Blvd, Minnetonka, MN 55345-5820 Ph: (952) 935-5212	Dr Kent Edward Cassidy, DDS 14418 Excelsior Blvd, Minnetonka, MN 55345-5820 Ph: (952) 935-5212

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Dentist in Minnetonka, MN

Dr. Alex William Scott, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5509 Eden Prairie Road, Suite A, Minnetonka, MN 55345 Phone: 952-938-6038 Fax: 952-935-9175
Dr. Holger Peter Meiser, DDS, DR. MED.DENT. Dentist Medicare: Not Enrolled in Medicare Practice Location: 17601 Highway 7 Ste 200, Minnetonka, MN 55345 Phone: 952-217-5201
Dr. Jeffrey Paul Foster, D.D.S., M.S.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 11601 Minnetonka Mills Rd Ste B40, Minnetonka, MN 55305 Phone: 952-933-1361 Fax: 952-933-9770
Dr. Gregory John Kemmitt, DDS Dentist Medicare: Medicare Enrolled Practice Location: 11601 Minnetonka Mills Rd, Minnetonka, MN 55305 Phone: 952-938-8858
Dr. Kylie Marie Knapp, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 11601 Minnetonka Mills Rd, Minnetonka, MN 55305 Phone: 952-938-8858
Dr. Michelle Louise Bergsrud, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6060 Clearwater Dr, Suite 230, Minnetonka, MN 55343 Phone: 952-938-8882
Justin J Mchugh, DDS Dentist Medicare: Medicare Enrolled Practice Location: 11601 Minnetonka Mills Rd, Minnetonka, MN 55305 Phone: 952-938-8858 Fax: 952-938-1992

Dr Kent Edward Cassidy, DDS - Medicare Dentist in Minnetonka, MN