Mary Elizabeth Imdieke, in Minneapolis, MN - Medicare Dentist Provider

Mary Elizabeth Imdieke, is a medicare enrolled "Dentist - Prosthodontics" provider in Minneapolis, Minnesota. Her current practice location is 515 Delaware St Se, Cleft Palate Clinic - 6th Floor Moos Tower, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 625-2495.

Mary Elizabeth Imdieke is licensed to practice in Minnesota (license number D11276) 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 1023180023.

Contact Information

	Mary Elizabeth Imdieke,
	515 Delaware St Se, Cleft Palate Clinic - 6th Floor Moos Tower, Minneapolis, MN 55455-0357
	(612) 625-2495
	Not Available

Healthcare Provider's Profile

Full Name	Mary Elizabeth Imdieke
Gender	Female
Speciality	Dentist - Prosthodontics
Location	515 Delaware St Se, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023180023
Provider Enumeration Date: 11/14/2006
Last Update Date: 08/14/2007

Medicare PECOS Information:

PECOS PAC ID: 7416132733
Enrollment ID: I20170620002948

Medical Identifiers

Medical identifiers for Mary Elizabeth Imdieke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023180023	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0700X	Dentist - Prosthodontics	D11276 (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. Mary Elizabeth Imdieke 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
Mary Elizabeth Imdieke, 515 Delaware St Se, Cleft Palate Clinic - 6th Floor Moos Tower, Minneapolis, MN 55455-0357 Ph: () -	Mary Elizabeth Imdieke, 515 Delaware St Se, Cleft Palate Clinic - 6th Floor Moos Tower, Minneapolis, MN 55455-0357 Ph: (612) 625-2495

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Dentist in Minneapolis, MN

Dr. Brian J Chase, DMD Dentist Medicare: Medicare Enrolled Practice Location: 515 Delaware St Se, Minneapolis, MN 55455 Phone: 617-895-7348
Dr. Jennifer Lynn Bonamici, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 515 Delaware St Se, Minneapolis, MN 55455 Phone: 612-625-5000
Joanna Christine Bourain, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1313 Penn Ave N, Minneapolis, MN 55411 Phone: 805-729-0090
Dr. Michael W. Lehnert, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 515 Delaware St Se, 7th Floor, Mmhst, Minneapolis, MN 55455 Phone: 612-624-7133 Fax: 612-624-2669
Luke Mcmahon, DDS Dentist Medicare: Accepting Medicare Assignments Practice Location: 606 24th Ave S, Minneapolis, MN 55454 Phone: 612-659-8689
Dr. Brett Andrew Voegele, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 515 Delaware St Se, 7th Floor, Moos Tower, Minneapolis, MN 55455 Phone: 612-624-8600
Julio Sotillo Rodriguez, D.D.S., PH.D. Dentist Medicare: Medicare Enrolled Practice Location: 701 25th Ave S, Suite 400, Minneapolis, MN 55454 Phone: 612-625-3249

Mary Elizabeth Imdieke, - Medicare Dentist in Minneapolis, MN