Daniel W Sudimack, DDS is a medicare enrolled "Dentist" provider in Monterey, Virginia. His current practice location is
120 Jackson River Rd, Monterey, Virginia. You can reach out to his office (for appointments etc.) via phone at
(540) 468-6400.
Daniel W Sudimack is licensed to practice in Texas (license number 25701) 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 1770895815.
Healthcare Provider's Profile
Full Name | Daniel W Sudimack |
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Gender | Male |
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Speciality | Dentist |
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Location | 120 Jackson River Rd, Monterey, Virginia |
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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: 1770895815
- Provider Enumeration Date: 07/06/2010
- Last Update Date: 10/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870777857
- Enrollment ID: I20160310001685
Medical Identifiers
Medical identifiers for Daniel W Sudimack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770895815 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 25701 (Texas) | 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. Daniel W Sudimack 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 |
Daniel W Sudimack, DDS Po Box 490, Monterey, VA 24465-0490 Ph: (540) 468-6400 | Daniel W Sudimack, DDS 120 Jackson River Rd, Monterey, VA 24465 Ph: (540) 468-6400 |
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