Dr Stacy Lynn Roszkowski, DDS is a medicare enrolled "Dentist" provider in W. St. Paul, Minnesota. Her current practice location is
1525 Livingston Ave, Suite B, W. St. Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 457-4888.
Dr Stacy Lynn Roszkowski is licensed to practice in Minnesota (license number D11110) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255421889.
Healthcare Provider's Profile
Full Name | Dr Stacy Lynn Roszkowski |
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Gender | Female |
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Speciality | Dentist |
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Location | 1525 Livingston Ave, W. St. Paul, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255421889
- Provider Enumeration Date: 10/13/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6507165594
- Enrollment ID: I20160426000311
Medical Identifiers
Medical identifiers for Dr Stacy Lynn Roszkowski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255421889 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | D11110 (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 Stacy Lynn Roszkowski 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 Stacy Lynn Roszkowski, DDS 1525 Livingston Ave, Suite B, W. St. Paul, MN 55118 Ph: (651) 457-4888 | Dr Stacy Lynn Roszkowski, DDS 1525 Livingston Ave, Suite B, W. St. Paul, MN 55118 Ph: (651) 457-4888 |
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