Dr Richard Wallace Brown, DDS in Balaton, MN - Medicare Dentist Provider

Dr Richard Wallace Brown, DDS is a medicare enrolled "Dentist" provider in Balaton, Minnesota. His current practice location is 123 3rd St, Balaton, Minnesota. You can reach out to his office (for appointments etc.) via phone at (507) 734-2251.

Dr Richard Wallace Brown is licensed to practice in Minnesota (license number D10227) 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 1750457396.

Contact Information

	Dr Richard Wallace Brown, DDS
	123 3rd St, Balaton, MN 56115
	(507) 734-2251
	(507) 734-2077

Healthcare Provider's Profile

Full Name	Dr Richard Wallace Brown
Gender	Male
Speciality	Dentist
Location	123 3rd St, Balaton, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750457396
Provider Enumeration Date: 11/27/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 9931420460
Enrollment ID: I20150609000808

Medical Identifiers

Medical identifiers for Dr Richard Wallace Brown such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750457396	NPI	-	NPPES
7996351	Other	MN	MN TAX ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	D10227 (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 Richard Wallace Brown 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 Richard Wallace Brown, DDS Po Box 186, 123 3rd St, Balaton, MN 56115 Ph: (507) 734-2251	Dr Richard Wallace Brown, DDS 123 3rd St, Balaton, MN 56115 Ph: (507) 734-2251

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Dentist in Balaton, MN

Dr. Kathryn Determan, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 123 3rd St (balaton Dental Clinic), Balaton, MN 56115
Phone: 507-734-2251

Dr Richard Wallace Brown, DDS - Medicare Dentist in Balaton, MN