Samuel C Hennies, DDS in Baxter, MN - Medicare Dentist Provider

Samuel C Hennies, DDS is a medicare enrolled "Dentist - General Practice" provider in Baxter, Minnesota. His current practice location is 14213 Golf Course Dr, Suite 100, Baxter, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 829-4511.

Samuel C Hennies is licensed to practice in Minnesota (license number D11048) 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 1457364150.

Contact Information

	Samuel C Hennies, DDS
	14213 Golf Course Dr, Suite 100, Baxter, MN 56425
	(218) 829-4511
	(218) 829-5483

Healthcare Provider's Profile

Full Name	Samuel C Hennies
Gender	Male
Speciality	Dentist - General Practice
Location	14213 Golf Course Dr, Baxter, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457364150
Provider Enumeration Date: 08/14/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4981906773
Enrollment ID: I20160112000002

Medical Identifiers

Medical identifiers for Samuel C Hennies such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457364150	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	D11048 (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. Samuel C Hennies 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
Samuel C Hennies, DDS 14213 Golf Course Dr, Suite 100, Baxter, MN 56425 Ph: (218) 829-4511	Samuel C Hennies, DDS 14213 Golf Course Dr, Suite 100, Baxter, MN 56425 Ph: (218) 829-4511

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Dentist in Baxter, MN

Dr. Christopher Dens, Dentist Medicare: Medicare Enrolled Practice Location: 6980 Fairview Rd, Baxter, MN 56425 Phone: 218-454-7000
Hannah Lundstrom, Dentist Medicare: Medicare Enrolled Practice Location: 14213 Golf Course Dr Ste 100, Baxter, MN 56425 Phone: 218-829-4511 Fax: 218-829-5483
Jeanni R Foss, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 15616 Edgewood Dr Ste 110, Baxter, MN 56401 Phone: 218-828-0565
Dr. Renee Seelhammer Taylor, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 7674 Design Rd, Baxter, MN 56425 Phone: 218-828-4816 Fax: 218-828-2095
Dr. Elliot David Larson, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 7814 Excelsior Rd, Baxter, MN 56425 Phone: 218-454-2400
Ms. Laura Leslie Snider, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 15616 Edgewood Dr Ste 110, Baxter, MN 56401 Phone: 218-828-0565 Fax: 218-828-0565
Dr. Scott David Timmons, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 13442 Elmwood Dr, Baxter, MN 56425 Phone: 218-829-4207 Fax: 218-829-4160

Samuel C Hennies, DDS - Medicare Dentist in Baxter, MN