Miss Sura Al Obaidy, in San Diego, CA - Medicare Dentist Provider

Miss Sura Al Obaidy, is a medicare enrolled "Dentist - General Practice" provider in San Diego, California. Her current practice location is 4142 Adams Ave Ste 104, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 483-7977.

Miss Sura Al Obaidy is licensed to practice in California (license number DDS107910) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124771811.

Contact Information

	Miss Sura Al Obaidy,
	4142 Adams Ave Ste 104, San Diego, CA 92116-2594
	(619) 483-7977
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Sura Al Obaidy
Gender	Female
Speciality	Dentist - General Practice
Location	4142 Adams Ave Ste 104, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124771811
Provider Enumeration Date: 02/02/2022
Last Update Date: 03/03/2023

Medicare PECOS Information:

PECOS PAC ID: 2860857257
Enrollment ID: I20230509001126

Medical Identifiers

Medical identifiers for Miss Sura Al Obaidy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124771811	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	DDS107910 (California)	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. Miss Sura Al Obaidy 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
Miss Sura Al Obaidy, 6255 Rancho Mission Rd Unit 306, San Diego, CA 92108-1822 Ph: (619) 483-7977	Miss Sura Al Obaidy, 4142 Adams Ave Ste 104, San Diego, CA 92116-2594 Ph: (619) 483-7977

Reviews and Comments

Dentist in San Diego, CA

Dr. Lam Chittaphong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9888 Carroll Centre Rd, Suite #120, San Diego, CA 92126 Phone: 858-722-6332 Fax: 888-514-1239
Malieka Trinee Johnson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4784 Muir Ave, San Diego, CA 92107 Phone: 619-518-9000
Dr. Keri Eileen Silva, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 814 Morena Blvd Ste 202, San Diego, CA 92110 Phone: 619-294-3273 Fax: 619-294-7170
Jonathan Kim, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2050 El Cajon Blvd, San Diego, CA 92104 Phone: 619-637-9774
Ghassan Adnan Jabbar Jayyar, DMD Dentist Medicare: Medicare Enrolled Practice Location: 286 Euclid Ave Ste 201, San Diego, CA 92114 Phone: 619-263-6683
Dr. Hemamalini Srinivasan, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4921a Clairemont Dr, San Diego, CA 92117 Phone: 858-272-7300 Fax: 858-272-3135
Dr. Stanley Lawrence Baquial, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3737 Moraga Ave, Ste B309, San Diego, CA 92117 Phone: 858-581-3641 Fax: 858-581-6135

Miss Sura Al Obaidy, - Medicare Dentist in San Diego, CA