Susana Tejada, DMD in Roxbury, MA - Medicare Dentist Provider

Susana Tejada, DMD is a medicare enrolled "Dentist" provider in Roxbury, Massachusetts. Her current practice location is 45 Dimock St, Roxbury, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 442-8800.

Susana Tejada is licensed to practice in Massachusetts (license number DN1855592) 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 1003118225.

Contact Information

	Susana Tejada, DMD
	45 Dimock St, Roxbury, MA 02119-1208
	(617) 442-8800
	(617) 442-4088

Map and Direction

Healthcare Provider's Profile

Full Name	Susana Tejada
Gender	Female
Speciality	Dentist
Location	45 Dimock St, Roxbury, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003118225
Provider Enumeration Date: 11/19/2010
Last Update Date: 04/13/2020

Medicare PECOS Information:

PECOS PAC ID: 0244413847
Enrollment ID: I20110601000742

Medical Identifiers

Medical identifiers for Susana Tejada such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003118225	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DN1855592 (Massachusetts)	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. Susana Tejada allows following entities to bill medicare on her behalf.

Entity Name	Dimock Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588719488 PECOS PAC ID: 7012810492 Enrollment ID: O20040202000242

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. Susana Tejada 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
Susana Tejada, DMD 379a Centre St, Jamaica Plain, MA 02130-1241 Ph: (617) 553-4838	Susana Tejada, DMD 45 Dimock St, Roxbury, MA 02119-1208 Ph: (617) 442-8800

Reviews and Comments

Dentist in Roxbury, MA

Kathryn Stahlhuth Holthaus, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 2181 Washington St, Roxbury, MA 02119 Phone: 617-606-3049
Shaina Immaculee Henriquez, Dentist Medicare: Medicare Enrolled Practice Location: 45 Dimock St, Roxbury, MA 02119 Phone: 617-442-8800 Fax: 617-541-0950
Dr. Paritosh Amburle, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3033 Washington St, Roxbury, MA 02119 Phone: 617-541-2200
Joyce S Gitangu, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2181 Washington St, 101, Roxbury, MA 02119 Phone: 617-427-5665
Anna Pietrantoni, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3033 Washington St, Roxbury, MA 02119 Phone: 617-541-2200
Shireen Khan, DMD Dentist Medicare: Medicare Enrolled Practice Location: 45 Dimock St, Roxbury, MA 02119 Phone: 617-442-8800 Fax: 617-541-0950

Susana Tejada, DMD - Medicare Dentist in Roxbury, MA