Margie Kennelly, DDS in Coon Rapids, MN - Medicare Dentist Provider

Margie Kennelly, DDS is a medicare enrolled "Dentist - General Practice" provider in Coon Rapids, Minnesota. Her current practice location is 8960 Springbrook Dr Nw, Suite 150, Coon Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 784-7570.

Margie Kennelly is licensed to practice in Minnesota (license number D10224) 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 1205807427.

Contact Information

	Margie Kennelly, DDS
	8960 Springbrook Dr Nw, Suite 150, Coon Rapids, MN 55433-5852
	(763) 784-7570
	Not Available

Healthcare Provider's Profile

Full Name	Margie Kennelly
Gender	Female
Speciality	Dentist - General Practice
Location	8960 Springbrook Dr Nw, Coon Rapids, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205807427
Provider Enumeration Date: 01/27/2006
Last Update Date: 02/27/2012

Medicare PECOS Information:

PECOS PAC ID: 1557262136
Enrollment ID: I20160302001107

Medical Identifiers

Medical identifiers for Margie Kennelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205807427	NPI	-	NPPES
949815000	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	D10224 (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. Margie Kennelly 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
Margie Kennelly, DDS 8960 Springbrook Dr Nw, Suite 150, Coon Rapids, MN 55433-5852 Ph: (763) 784-7570	Margie Kennelly, DDS 8960 Springbrook Dr Nw, Suite 150, Coon Rapids, MN 55433-5852 Ph: (763) 784-7570

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Dentist in Coon Rapids, MN

Dr. Ramon Aguirre, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3960 Coon Rapids Blvd Nw, Suite 320, Coon Rapids, MN 55433 Phone: 763-427-1720 Fax: 763-427-5659
Robert Sylvester Breitbach, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2519 Coon Rapids Blvd, Coon Rapids, MN 55433 Phone: 763-755-2830 Fax: 763-755-9356
Alexie Portz, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 13040 Riverdale Dr Nw Ste 600, Coon Rapids, MN 55448 Phone: 763-323-3042
Dr. Erik William Marksberry, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 10756 Butternut St Nw, Coon Rapids, MN 55448 Phone: 763-757-4170 Fax: 763-757-7940
Tina A Nguyen, Dentist Medicare: Medicare Enrolled Practice Location: 13040 Riverdale Dr Nw Ste 600, Coon Rapids, MN 55448 Phone: 763-323-3042
Lisa Domeyer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11441 Osage St Nw, Coon Rapids, MN 55433 Phone: 763-757-6600 Fax: 763-757-6600
Dr. David M Phillips, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 11237 Foley Blvd Nw, Coon Rapids, MN 55448 Phone: 763-757-3120 Fax: 763-757-5161

Margie Kennelly, DDS - Medicare Dentist in Coon Rapids, MN