Suzana Gjino, is a medicare enrolled "Dentist - Dental Public Health" provider in Advance, Missouri. Her current practice location is
307 W Gabriel St, Advance, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 722-3034.
Suzana Gjino is licensed to practice in Missouri (license number 2022006321) 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 1396300547.
Healthcare Provider's Profile
| Full Name | Suzana Gjino |
|---|
| Gender | Female |
|---|
| Speciality | Dentist - Dental Public Health |
|---|
| Location | 307 W Gabriel St, Advance, Missouri |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1396300547
- Provider Enumeration Date: 05/03/2019
- Last Update Date: 11/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 1850779604
- Enrollment ID: I20220607000926
Medical Identifiers
Medical identifiers for Suzana Gjino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396300547 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223D0001X | Dentist - Dental Public Health | 2022006321 (Missouri) | 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. Suzana Gjino allows following entities to bill medicare on her behalf.
| Entity Name | Samuel U Rodgers Health Center Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1578570982
PECOS PAC ID: 9739092826
Enrollment ID: O20031105000813 |
|---|
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. Suzana Gjino 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 |
|---|
Suzana Gjino,
1928 Perryville Rd,
Cape Girardeau, MO 63701-2425
Ph: (314) 757-2881 | Suzana Gjino,
307 W Gabriel St,
Advance, MO 63730-8301
Ph: (573) 722-3034 |
Reviews and Comments