Dr Luke Gustave Siskoff, DDS in Apple Valley, MN - Medicare Dentist Provider

Dr Luke Gustave Siskoff, DDS is a medicare enrolled "Dentist - General Practice" provider in Apple Valley, Minnesota. His current practice location is 14990 Glazier Ave, #100, Apple Valley, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 431-5114.

Dr Luke Gustave Siskoff is licensed to practice in Minnesota (license number D10276) 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 1649339136.

Contact Information

	Dr Luke Gustave Siskoff, DDS
	14990 Glazier Ave, #100, Apple Valley, MN 55124-7818
	(952) 431-5114
	(952) 431-3576

Healthcare Provider's Profile

Full Name	Dr Luke Gustave Siskoff
Gender	Male
Speciality	Dentist - General Practice
Location	14990 Glazier Ave, Apple Valley, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649339136
Provider Enumeration Date: 12/08/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0143522797
Enrollment ID: I20160113002312

Medical Identifiers

Medical identifiers for Dr Luke Gustave Siskoff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649339136	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	D10276 (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 Luke Gustave Siskoff 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 Luke Gustave Siskoff, DDS 1248 Pioneer Ln, Shakopee, MN 55379-3463 Ph: (952) 496-3456	Dr Luke Gustave Siskoff, DDS 14990 Glazier Ave, #100, Apple Valley, MN 55124-7818 Ph: (952) 431-5114

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Dentist in Apple Valley, MN

Dr. Mitchell James Rogge, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8977 Hunters Way, Apple Valley, MN 55124 Phone: 952-900-6086
Dr. Grant Joseph Schmura, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 15875 Emperor Ave Ste 100, Apple Valley, MN 55124 Phone: 651-463-2300 Fax: 651-463-2118
Dr. Todd Gene Weber, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 14505 Glazier Ave, Apple Valley, MN 55124 Phone: 952-432-1101
Dr. Anne Yahiro, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7300 147th St W Ste 302, Apple Valley, MN 55124 Phone: 952-432-9155
Dr. Sarah Ann Welch, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 14990 Glazier Ave, Suite 100, Apple Valley, MN 55124 Phone: 952-431-5114 Fax: 952-431-3576
Dr. Jeffrey James Mathiason, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 14505 Glazier Ave, Apple Valley, MN 55124 Phone: 952-432-1101
Miss Ellen Denise Jacobson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 14682 Pennock Avenue South, Apple Valley, MN 55124 Phone: 952-431-5774 Fax: 952-431-0862

Dr Luke Gustave Siskoff, DDS - Medicare Dentist in Apple Valley, MN