Mrs Susmitha Jasti, DMD is a medicare enrolled "Dentist" provider in Humble,, Texas. Her current practice location is
4801 Wilson Road, Ste 200, Humble,, Texas. You can reach out to her office (for appointments etc.) via phone at
(281) 441-1065.
Mrs Susmitha Jasti is licensed to practice in Texas (license number 26353) 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 1033347752.
Healthcare Provider's Profile
Full Name | Mrs Susmitha Jasti |
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Gender | Female |
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Speciality | Dentist |
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Location | 4801 Wilson Road, Ste 200, Humble,, Texas |
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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: 1033347752
- Provider Enumeration Date: 07/01/2009
- Last Update Date: 03/03/2015
Medicare PECOS Information:
- PECOS PAC ID: 1355630708
- Enrollment ID: I20160525001172
Medical Identifiers
Medical identifiers for Mrs Susmitha Jasti such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033347752 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | DN1855163 (Massachusetts) | Secondary |
122300000X | Dentist | 26353 (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. Mrs Susmitha Jasti 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 |
Mrs Susmitha Jasti, DMD 4801 Wilson Road, Ste 200, Humble, TX 77396 Ph: (281) 441-1065 | Mrs Susmitha Jasti, DMD 4801 Wilson Road, Ste 200, Humble,, TX 77396 Ph: (281) 441-1065 |
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