Dr Matthew John Phan, DDS in Bloomington, MN - Medicare Dentist Provider

Dr Matthew John Phan, DDS is a medicare enrolled "Dentist - General Practice" provider in Bloomington, Minnesota. His current practice location is 10611 France Ave S, Bloomington, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 888-4125.

Dr Matthew John Phan is licensed to practice in Minnesota (license number 13890) 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 1164944146.

Contact Information

	Dr Matthew John Phan, DDS
	10611 France Ave S, Bloomington, MN 55431-3525
	(952) 888-4125
	Not Available

Healthcare Provider's Profile

Full Name	Dr Matthew John Phan
Gender	Male
Speciality	Dentist - General Practice
Location	10611 France Ave S, Bloomington, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164944146
Provider Enumeration Date: 07/12/2017
Last Update Date: 07/12/2017

Medicare PECOS Information:

PECOS PAC ID: 7113291253
Enrollment ID: I20170927004198

Medical Identifiers

Medical identifiers for Dr Matthew John Phan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164944146	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	13890 (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 Matthew John Phan 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 Matthew John Phan, DDS 212 10th Ave S Apt 712, Minneapolis, MN 55415-1374 Ph: (805) 813-9567	Dr Matthew John Phan, DDS 10611 France Ave S, Bloomington, MN 55431-3525 Ph: (952) 888-4125

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Dentist in Bloomington, MN

Dr. Gerald A Brost, DDS Dentist Medicare: Medicare Enrolled Practice Location: 8600 Nicollet Ave, Bloomington, MN 55420 Phone: 952-884-1148 Fax: 952-886-7016
Dr. Audra Ann Wessel, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 8910 Penn Ave S, Bloomington, MN 55431 Phone: 952-881-0504 Fax: 952-884-0188
Dr. Stephen Robert Leitgen, DDS Dentist Medicare: Medicare Enrolled Practice Location: 7324 Bush Lake Dr, Bloomington, MN 55438 Phone: 952-303-3672
Dr. Erik W Houck, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10700 France Ave S Ste 102, Bloomington, MN 55431 Phone: 952-679-3531
Dr. Jonathan Kluxdal, DDS Dentist Medicare: Medicare Enrolled Practice Location: 10700 France Ave S Ste 102, Bloomington, MN 55431 Phone: 952-679-3531
Dr. Joan Buehrer, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4916 Normandale Highlands Dr, Bloomington, MN 55437 Phone: 952-835-3999
Fariba Kianmajd, Dentist Medicare: Not Enrolled in Medicare Practice Location: 7936 Portland Ave S, Bloomington, MN 55420 Phone: 952-852-7776

Dr Matthew John Phan, DDS - Medicare Dentist in Bloomington, MN