Kathleen M Moen, DDS - Medicare Dentist in Avon, MN

Kathleen M Moen, DDS is a medicare enrolled "Dentist" provider in Avon, Minnesota. Her current practice location is 300 Avon Ave S, Suite F, Avon, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 356-7374.

Kathleen M Moen is licensed to practice in Minnesota (license number 10962) 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 1891785226.

Contact Information

Kathleen M Moen, DDS
300 Avon Ave S, Suite F,
Avon, MN 56310-8516
(320) 356-7374
(320) 356-9427



Healthcare Provider's Profile

Full NameKathleen M Moen
GenderFemale
SpecialityDentist
Location300 Avon Ave S, Avon, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891785226
  • Provider Enumeration Date: 10/26/2005
  • Last Update Date: 11/26/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3678892866
  • Enrollment ID: I20150511001488

Medical Identifiers

Medical identifiers for Kathleen M Moen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891785226NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 10962 (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. Kathleen M Moen 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 AddressPractice Location Address
Kathleen M Moen, DDS
Po Box 181,
Avon, MN 56310-0181

Ph: (320) 356-7374
Kathleen M Moen, DDS
300 Avon Ave S, Suite F,
Avon, MN 56310-8516

Ph: (320) 356-7374

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Dentist in Avon, MN

Dr. Alyssa Lynn Gullickson, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 308 Blattner Dr, Suite A, Avon, MN 56310
Phone: 320-356-7374    Fax: 320-356-9427
Nicolette Therese Porttiin, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 308 Blattner Dr # A, Avon, MN 56310
Phone: 320-356-7374    

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