Dr Teodora Nikolaeva Baylon, DDS in Roseville, MN - Medicare Dentist Provider

Dr Teodora Nikolaeva Baylon, DDS is a medicare enrolled "Dentist" provider in Roseville, Minnesota. Her current practice location is 2233 Hamline Ave N, Roseville, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 636-0655.

Dr Teodora Nikolaeva Baylon is licensed to practice in Minnesota (license number D12717) 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 1053639963.

Contact Information

	Dr Teodora Nikolaeva Baylon, DDS
	2233 Hamline Ave N, Roseville, MN 55113-5009
	(651) 636-0655
	Not Available

Healthcare Provider's Profile

Full Name	Dr Teodora Nikolaeva Baylon
Gender	Female
Speciality	Dentist
Location	2233 Hamline Ave N, Roseville, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053639963
Provider Enumeration Date: 05/17/2010
Last Update Date: 02/23/2016

Medicare PECOS Information:

PECOS PAC ID: 0244532810
Enrollment ID: I20160113003012

Medical Identifiers

Medical identifiers for Dr Teodora Nikolaeva Baylon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053639963	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	D12717 (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 Teodora Nikolaeva Baylon 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 Teodora Nikolaeva Baylon, DDS 2233 Hamline Ave N Ste 320, Saint Paul, MN 55113-5005 Ph: (651) 636-0655	Dr Teodora Nikolaeva Baylon, DDS 2233 Hamline Ave N, Roseville, MN 55113-5009 Ph: (651) 636-0655

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Dentist in Roseville, MN

Stephanie Mazhari Huang, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 708 County Road B W, Roseville, MN 55113 Phone: 651-489-0161 Fax: 651-489-9938
Dr. Kirk Roland Baumgardner, DDS, PHD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1835 County Road C W, Roseville, MN 55113 Phone: 651-746-0587 Fax: 651-636-1118
Dr. Douglas Kenneth Keim,, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2233 Hamline Ave N, Suite 210, Roseville, MN 55113 Phone: 651-631-2944 Fax: 651-639-1439
Michael Warren Geiser, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2233 Hamline Ave N, Suite 111, Roseville, MN 55113 Phone: 651-633-5087 Fax: 651-633-5148
Craig Anthony Sulzdorf, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1912 Lexington Ave N Ste 200, Roseville, MN 55113 Phone: 651-631-3610
Dr. Pamela Jean Holm, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1835 County Road C W, #220, Roseville, MN 55113 Phone: 651-636-2123 Fax: 651-636-2614

Dr Teodora Nikolaeva Baylon, DDS - Medicare Dentist in Roseville, MN