Andrew R Moffitt, DDS MS in Champlin, MN - Medicare Dentist Provider

Andrew R Moffitt, DDS MS is a medicare enrolled "Dentist - General Practice" provider in Champlin, Minnesota. His current practice location is 502 Jefferson Hwy, Champlin, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 427-1311.

Andrew R Moffitt is licensed to practice in Minnesota (license number 12062) 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 1851477020.

Contact Information

	Andrew R Moffitt, DDS MS
	502 Jefferson Hwy, Champlin, MN 55316
	(763) 427-1311
	(763) 427-1315

Map and Direction

Healthcare Provider's Profile

Full Name	Andrew R Moffitt
Gender	Male
Speciality	Dentist - General Practice
Location	502 Jefferson Hwy, Champlin, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851477020
Provider Enumeration Date: 10/31/2006
Last Update Date: 09/11/2025

Medicare PECOS Information:

PECOS PAC ID: 9234314295
Enrollment ID: I20160302001180

Medical Identifiers

Medical identifiers for Andrew R Moffitt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851477020	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	12062 (Minnesota)	Primary
1223P0700X	Dentist - Prosthodontics	12062 (Minnesota)	Secondary

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. Andrew R Moffitt 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
Andrew R Moffitt, DDS MS 502 Jefferson Hwy, Champlin, MN 55316 Ph: (763) 427-1311	Andrew R Moffitt, DDS MS 502 Jefferson Hwy, Champlin, MN 55316 Ph: (763) 427-1311

Reviews and Comments

Dentist in Champlin, MN

Kenneth Donald Salo, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11816 Mississippi Dr N, Champlin, MN 55316 Phone: 763-421-2732
Dr. Krista S Bauer-abrahamson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 12233 Champlin Dr, Champlin, MN 55316 Phone: 767-323-0678 Fax: 763-323-9102
Dr. Siraj M. Bachani, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 11231 Aquila Dr N, Champlin, MN 55316 Phone: 763-275-1318
Dr. Docia Ann Hogan, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12233 Champlin Dr, Champlin, MN 55316 Phone: 763-323-0678 Fax: 763-323-9102
Owen James Thoele, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-421-5206 Fax: 763-421-8320
Ashley Marie Verbick, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 12180 Business Park Blvd N, Champlin, MN 55316 Phone: 763-421-5206 Fax: 763-421-8320
Madison Hirn, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12180 Business Park Blvd N, Champlin, MN 55316 Phone: 763-421-5206

Andrew R Moffitt, DDS MS - Medicare Dentist in Champlin, MN