Dr Sean Sunyoto, DDS in Los Angeles, CA - Medicare Dentist Provider

Dr Sean Sunyoto, DDS is a medicare enrolled "Dentist" provider in Los Angeles, California. His current practice location is 936 Crenshaw Blvd Ste 101, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 934-2804.

Dr Sean Sunyoto is licensed to practice in California (license number 102689) 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 1124514112.

Contact Information

	Dr Sean Sunyoto, DDS
	936 Crenshaw Blvd Ste 101, Los Angeles, CA 90019-1948
	(323) 934-2804
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Sean Sunyoto
Gender	Male
Speciality	Dentist
Location	936 Crenshaw Blvd Ste 101, 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: 1124514112
Provider Enumeration Date: 07/03/2018
Last Update Date: 07/03/2018

Medicare PECOS Information:

PECOS PAC ID: 0749515674
Enrollment ID: I20190715000865

Medical Identifiers

Medical identifiers for Dr Sean Sunyoto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124514112	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	102689 (California)	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. Dr Sean Sunyoto allows following entities to bill medicare on his behalf.

Entity Name	John Kim Dds Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831468362 PECOS PAC ID: 7315208261 Enrollment ID: O20180309002058

Entity Name	Sean Kim Dds Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306323035 PECOS PAC ID: 9830424761 Enrollment ID: O20190715000761

Entity Name	Sean Bp Sunyoto Dds Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457996035 PECOS PAC ID: 9931533924 Enrollment ID: O20191227002224

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 Sean Sunyoto 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 Sean Sunyoto, DDS 17840 Powell Pl, Artesia, CA 90701-3879 Ph: (626) 510-2606	Dr Sean Sunyoto, DDS 936 Crenshaw Blvd Ste 101, Los Angeles, CA 90019-1948 Ph: (323) 934-2804

Reviews and Comments

Dentist in Los Angeles, CA

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Dr Sean Sunyoto, DDS - Medicare Dentist in Los Angeles, CA