Mark John Modjean, DDS in Richfield, MN - Medicare Dentist Provider

Mark John Modjean, DDS is a medicare enrolled "Dentist" provider in Richfield, Minnesota. His current practice location is 7001 Nicollet Ave, Richfield, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 866-3322.

Mark John Modjean is licensed to practice in Minnesota (license number 8439) 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 1275802092.

Contact Information

	Mark John Modjean, DDS
	7001 Nicollet Ave, Richfield, MN 55423-3162
	(612) 866-3322
	Not Available

Healthcare Provider's Profile

Full Name	Mark John Modjean
Gender	Male
Speciality	Dentist
Location	7001 Nicollet Ave, Richfield, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275802092
Provider Enumeration Date: 12/22/2011
Last Update Date: 12/22/2011

Medicare PECOS Information:

PECOS PAC ID: 1658685912
Enrollment ID: I20150730011472

Medical Identifiers

Medical identifiers for Mark John Modjean such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275802092	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	8439 (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. Mark John Modjean 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
Mark John Modjean, DDS 7001 Nicollet Ave, Richfield, MN 55423-3162 Ph: (612) 866-3322	Mark John Modjean, DDS 7001 Nicollet Ave, Richfield, MN 55423-3162 Ph: (612) 866-3322

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Dentist in Richfield, MN

Dr. Rebecca Leigh Benson, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 6601 Lyndale Ave S, Richfield, MN 55423 Phone: 612-866-1234
Dr. Mark Joseph Johnson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 98 W 66th St, Richfield, MN 55423 Phone: 612-866-1005 Fax: 612-866-7805
Krista Jean Koehler, DDS Dentist Medicare: Medicare Enrolled Practice Location: 6411 Richfield Pkwy, Richfield, MN 55423 Phone: 612-869-3440
Dr. Helen Haewon Kim, DDS Dentist Medicare: Medicare Enrolled Practice Location: 6601 Lyndale Ave. S. Suite 230, Richfield, MN 55423 Phone: 612-866-1234 Fax: 612-638-1232
Dr. Micah Chan, D.M.D., M.S. Dentist Medicare: Medicare Enrolled Practice Location: 6601 Lyndale Ave S, Richfield, MN 55423 Phone: 612-243-9357
Dr. Wallace Earl Lunden Iii, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1404 East 66th Street, Richfield, MN 55423 Phone: 612-866-9622 Fax: 612-866-3877
Hugh John Murdoch, DDS MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6519 Nicollet Avenue South, Suite 304, Richfield, MN 55423 Phone: 612-866-9900 Fax: 612-866-9362

Mark John Modjean, DDS - Medicare Dentist in Richfield, MN