Dr Paul Thomas Bothun, DDS - Medicare Dentist in Grand Forks, ND

Dr Paul Thomas Bothun, DDS is a medicare enrolled "Dentist" provider in Grand Forks, North Dakota. His current practice location is Dakota Dental Associates Pc, 4000 17th Ave S, Grand Forks, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 775-0641.

Dr Paul Thomas Bothun is licensed to practice in North Dakota (license number 1791) 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 1295845790.

Contact Information

Dr Paul Thomas Bothun, DDS
Dakota Dental Associates Pc, 4000 17th Ave S,
Grand Forks, ND 58201-3905
(701) 775-0641
(701) 746-9328

Map and Direction




Healthcare Provider's Profile

Full NameDr Paul Thomas Bothun
GenderMale
SpecialityDentist
LocationDakota Dental Associates Pc, Grand Forks, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295845790
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 05/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5799770517
  • Enrollment ID: I20150724010952

Medical Identifiers

Medical identifiers for Dr Paul Thomas Bothun such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295845790NPI-NPPES
788399OtherUNITED CONCORDIA
901791OtherNDDENTAL SERVICES CORP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 1791 (North Dakota)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 Paul Thomas Bothun 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 Paul Thomas Bothun, DDS
Dakota Dental Associates Pc, 4000 17th Ave S,
Grand Forks, ND 58201-3905

Ph: (701) 775-0641
Dr Paul Thomas Bothun, DDS
Dakota Dental Associates Pc, 4000 17th Ave S,
Grand Forks, ND 58201-3905

Ph: (701) 775-0641

Reviews and Comments


Dentist in Grand Forks, ND

Dr. Christopher Algot Eriksson, D.D.S.
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Practice Location: 319th Medical Group, 1599 J Street, Grand Forks, ND 58205
Phone: 317-361-0581    
Dr. Heidi Nicole Undlin Stevens, DDS
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Medicare: Medicare Enrolled
Practice Location: Dakota Dental Associates Pc, 4000 17th Ave S, Grand Forks, ND 58201
Phone: 701-775-0641    Fax: 701-746-9328
Dr. Jackie Rae Nord, D.D.S.
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Medicare: Medicare Enrolled
Practice Location: 212 S 4th St, Suite 101, Grand Forks, ND 58201
Phone: 701-757-2100    
Dr. Brian J Nord, DDS
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Medicare: Not Enrolled in Medicare
Practice Location: 2720 17th Avenue South, Grand Forks, ND 58201
Phone: 701-772-6922    Fax: 701-746-8080
Dr. Steven Michael Erlandson, D.D.S.
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Medicare: Not Enrolled in Medicare
Practice Location: 2401 S Washington St, Suite D, Grand Forks, ND 58201
Phone: 701-772-6581    Fax: 701-772-5536

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.