Dr Wesley A Suddarth, DDS is a medicare enrolled "Dentist - General Practice" provider in Alexandria, Tennessee. His current practice location is
111 S. Public Sq, Alexandria, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(615) 529-2895.
Dr Wesley A Suddarth is licensed to practice in Tennessee (license number DS 3317) 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 1649278557.
Healthcare Provider's Profile
| Full Name | Dr Wesley A Suddarth |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 111 S. Public Sq, Alexandria, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1649278557
- Provider Enumeration Date: 07/13/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6305144858
- Enrollment ID: I20160415001685
Medical Identifiers
Medical identifiers for Dr Wesley A Suddarth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649278557 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223G0001X | Dentist - General Practice | DS 3317 (Tennessee) | 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 Wesley A Suddarth 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 Wesley A Suddarth, DDS
Po Box 97, 111 S. Public Sq,
Alexandria, TN 37012-0097
Ph: (615) 529-2895 | Dr Wesley A Suddarth, DDS
111 S. Public Sq,
Alexandria, TN 37012-0097
Ph: (615) 529-2895 |
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