Andrei Souchitski Sr, DDS in Los Angeles, CA

Andrei Souchitski Sr, DDS is a medicare enrolled "Dentist - General Practice" provider in Los Angeles, California. His current practice location is 514 E Washington Blvd, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (213) 749-3934.

Andrei Souchitski Sr is licensed to practice in Georgia (license number 43249) 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 1265543920.

Contact Information

	Andrei Souchitski Sr, DDS
	514 E Washington Blvd, Los Angeles, CA 90015
	(213) 749-3934
	(213) 749-0994

Map and Direction

Healthcare Provider's Profile

Full Name	Andrei Souchitski Sr
Gender	Male
Speciality	Dentist - General Practice
Location	514 E Washington Blvd, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265543920
Provider Enumeration Date: 08/31/2006
Last Update Date: 10/10/2019

Medicare PECOS Information:

PECOS PAC ID: 3678863065
Enrollment ID: I20191120000407

Medical Identifiers

Medical identifiers for Andrei Souchitski Sr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265543920	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	43249 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Andrei Souchitski Sr allows following entities to bill medicare on his behalf.

Entity Name	Andrei Souchitski Dds Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417349556 PECOS PAC ID: 2062844624 Enrollment ID: O20191120000536

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. Andrei Souchitski Sr 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
Andrei Souchitski Sr, DDS 514 E Washington Blvd, Los Angeles, CA 90015 Ph: (213) 749-3934	Andrei Souchitski Sr, DDS 514 E Washington Blvd, Los Angeles, CA 90015 Ph: (213) 749-3934

Reviews and Comments

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Andrei Souchitski Sr, DDS - Medicare Dentist in Los Angeles, CA