Dr Michael Thomas Flynn, DDS is a medicare enrolled "Dentist - General Practice" provider in Lewiston, Minnesota. His current practice location is
560 Debra Dr, Lewiston, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(507) 523-2267.
Dr Michael Thomas Flynn is licensed to practice in Minnesota (license number 8759) 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 1629169909.
Healthcare Provider's Profile
| Full Name | Dr Michael Thomas Flynn |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 560 Debra Dr, Lewiston, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629169909
- Provider Enumeration Date: 09/28/2006
- Last Update Date: 10/06/2008
Medicare PECOS Information:
- PECOS PAC ID: 1658679766
- Enrollment ID: I20160406000105
Medical Identifiers
Medical identifiers for Dr Michael Thomas Flynn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629169909 | NPI | - | NPPES |
| 063218000 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 8759 (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 Michael Thomas Flynn 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 |
|---|
Dr Michael Thomas Flynn, DDS
27249 Ruslynn Dr,
Winona, MN 55987-4971
Ph: (507) 452-9035 | Dr Michael Thomas Flynn, DDS
560 Debra Dr,
Lewiston, MN 55952-2104
Ph: (507) 523-2267 |
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