Peter Sukman Suh, DMD is a medicare enrolled "Dentist - Pediatric Dentistry" provider in La Canada Flintridge, California. His current practice location is
1346 Foothill Blvd, Suite 305, La Canada Flintridge, California. You can reach out to his office (for appointments etc.) via phone at
(818) 790-5959.
Peter Sukman Suh is licensed to practice in California (license number CA 42425) 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 1124234752.
Healthcare Provider's Profile
Full Name | Peter Sukman Suh |
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Gender | Male |
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Speciality | Dentist - Pediatric Dentistry |
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Location | 1346 Foothill Blvd, La Canada Flintridge, California |
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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: 1124234752
- Provider Enumeration Date: 05/14/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5698936888
- Enrollment ID: I20120416000396
Medical Identifiers
Medical identifiers for Peter Sukman Suh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124234752 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223P0221X | Dentist - Pediatric Dentistry | CA 42425 (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. Peter Sukman Suh allows following entities to bill medicare on his behalf.
Entity Name | Childrens Hospital Los Angeles Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522 |
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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. Peter Sukman Suh 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 |
Peter Sukman Suh, DMD 1346 Foothill Blvd, Suite 305, La Canada Flintridge, CA 91011 Ph: (818) 790-5959 | Peter Sukman Suh, DMD 1346 Foothill Blvd, Suite 305, La Canada Flintridge, CA 91011 Ph: (818) 790-5959 |
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