Dr Jack Louis Churchill, DDS - Medicare Dentist in Minneapolis, MN

Dr Jack Louis Churchill, DDS is a medicare enrolled "Dentist - General Practice" provider in Minneapolis, Minnesota. His current practice location is 825 Nicollet Mall, 1427 Medical Arts Bldg, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 333-8988.

Dr Jack Louis Churchill is licensed to practice in Minnesota (license number 8747) 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 1427154020.

Contact Information

Dr Jack Louis Churchill, DDS
825 Nicollet Mall, 1427 Medical Arts Bldg,
Minneapolis, MN 55402-2606
(612) 333-8988
(612) 339-3618

Map and Direction




Healthcare Provider's Profile

Full NameDr Jack Louis Churchill
GenderMale
SpecialityDentist - General Practice
Location825 Nicollet Mall, Minneapolis, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427154020
  • Provider Enumeration Date: 09/15/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2668761438
  • Enrollment ID: I20160518000289

Medical Identifiers

Medical identifiers for Dr Jack Louis Churchill such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427154020NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 8747 (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 Jack Louis Churchill 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 Jack Louis Churchill, DDS
14615 13th Pl N,
Plymouth, MN 55447-4526

Ph: (763) 475-3710
Dr Jack Louis Churchill, DDS
825 Nicollet Mall, 1427 Medical Arts Bldg,
Minneapolis, MN 55402-2606

Ph: (612) 333-8988

Reviews and Comments


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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.

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