Dr Roger Alan Mondale, DD S - Medicare Dentist in Plymouth, MN

Dr Roger Alan Mondale, DD S is a medicare enrolled "Dentist - General Practice" provider in Plymouth, Minnesota. His current practice location is 10600 Old County Rd. 15, Suite 120, Plymouth, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 512-8500.

Dr Roger Alan Mondale is licensed to practice in Minnesota (license number D7579) 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 1023170248.

Contact Information

Dr Roger Alan Mondale, DD S
10600 Old County Rd. 15, Suite 120,
Plymouth, MN 55441
(763) 512-8500
(763) 512-8592

Map and Direction




Healthcare Provider's Profile

Full NameDr Roger Alan Mondale
GenderMale
SpecialityDentist - General Practice
Location10600 Old County Rd. 15, Plymouth, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023170248
  • Provider Enumeration Date: 12/14/2006
  • Last Update Date: 12/16/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 8022329333
  • Enrollment ID: I20150612000727

Medical Identifiers

Medical identifiers for Dr Roger Alan Mondale such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023170248NPI-NPPES
970215600MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice D7579 (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 Roger Alan Mondale 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 Roger Alan Mondale, DD S
10600 Old County Rd 15, Suite 120,
Plymouth, MN 55441

Ph: (763) 512-8500
Dr Roger Alan Mondale, DD S
10600 Old County Rd. 15, Suite 120,
Plymouth, MN 55441

Ph: (763) 512-8500

Reviews and Comments


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Dr. Paul Arnesen,
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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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