Dr Jon Hallie, DDS - Medicare Dentist in Roseau, MN

Dr Jon Hallie, DDS is a medicare enrolled "Dentist" provider in Roseau, Minnesota. His current practice location is 201 4th Ave Nw, Roseau, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 463-2553.

Dr Jon Hallie is licensed to practice in Minnesota (license number D13518) 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 1063892313.

Contact Information

Dr Jon Hallie, DDS
201 4th Ave Nw,
Roseau, MN 56751-1033
(218) 463-2553
(218) 463-9464

Map and Direction




Healthcare Provider's Profile

Full NameDr Jon Hallie
GenderMale
SpecialityDentist
Location201 4th Ave Nw, Roseau, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063892313
  • Provider Enumeration Date: 06/02/2015
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2466742853
  • Enrollment ID: I20160525002930

Medical Identifiers

Medical identifiers for Dr Jon Hallie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063892313NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist D13518 (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. Dr Jon Hallie 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
Dr Jon Hallie, DDS
201 4th Ave Nw,
Roseau, MN 56751-1033

Ph: (218) 463-2553
Dr Jon Hallie, DDS
201 4th Ave Nw,
Roseau, MN 56751-1033

Ph: (218) 463-2553

Reviews and Comments


Dentist in Roseau, MN

Dr. Cynthia Faye Drost-sandy, DDS
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Phone: 218-463-2100    Fax: 218-463-3055
Dr. Lorris Galen Vatnsdal Ii,
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Practice Location: 205a 2nd Ave Nw, Roseau, MN 56751
Phone: 218-463-2100    Fax: 218-463-3055
Dr. Nghi Trinh-pham, D.D.S.
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Medicare: Medicare Enrolled
Practice Location: 308 Center St W, Roseau, MN 56751
Phone: 218-463-1070    
Dr. Robert Frank Larson,
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Medicare: Not Enrolled in Medicare
Practice Location: 201 4th Ave Nw, Roseau, MN 56751
Phone: 218-463-2553    
Philip Bruce Sallberg, DDS
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Medicare: Medicare Enrolled
Practice Location: 308 Center St W, Roseau, MN 56751
Phone: 218-463-1070    Fax: 218-463-1170

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.