Dr Jacob Orth Sisombath, DDS - Medicare Dentist in Dallas, TX

Dr Jacob Orth Sisombath, DDS is a medicare enrolled "Dentist - General Practice" provider in Dallas, Texas. His current practice location is 2020 N Masters Dr, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 285-2600.

Dr Jacob Orth Sisombath is licensed to practice in Texas (license number 25064) 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 1710154224.

Contact Information

Dr Jacob Orth Sisombath, DDS
2020 N Masters Dr,
Dallas, TX 75217-3168
(972) 285-2600
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jacob Orth Sisombath
GenderMale
SpecialityDentist - General Practice
Location2020 N Masters Dr, Dallas, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710154224
  • Provider Enumeration Date: 05/14/2008
  • Last Update Date: 09/13/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 0941507560
  • Enrollment ID: I20160328000411

Medical Identifiers

Medical identifiers for Dr Jacob Orth Sisombath such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710154224NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 25064 (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. Dr Jacob Orth Sisombath 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 Jacob Orth Sisombath, DDS
2020 N Masters Dr,
Dallas, TX 75217-3168

Ph: (972) 285-2600
Dr Jacob Orth Sisombath, DDS
2020 N Masters Dr,
Dallas, TX 75217-3168

Ph: (972) 285-2600

Reviews and Comments


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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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