Tetsuya Shirasuka, DDS in Des Moines, WA - Medicare Dentist Provider

Tetsuya Shirasuka, DDS is a medicare enrolled "Dentist - General Practice" provider in Des Moines, Washington. His current practice location is 22625 Pacific Hwy S, Des Moines, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 878-5665.

Tetsuya Shirasuka is licensed to practice in California (license number 59447) 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 1740307214.

Contact Information

	Tetsuya Shirasuka, DDS
	22625 Pacific Hwy S, Des Moines, WA 98198-5110
	(206) 878-5665
	(206) 870-1504

Map and Direction

Healthcare Provider's Profile

Full Name	Tetsuya Shirasuka
Gender	Male
Speciality	Dentist - General Practice
Location	22625 Pacific Hwy S, Des Moines, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740307214
Provider Enumeration Date: 03/22/2007
Last Update Date: 08/25/2017

Medicare PECOS Information:

PECOS PAC ID: 4587954094
Enrollment ID: I20160610001558

Medical Identifiers

Medical identifiers for Tetsuya Shirasuka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740307214	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	DE00010449 (Washington)	Secondary
1223G0001X	Dentist - General Practice	59447 (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. Tetsuya Shirasuka 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
Tetsuya Shirasuka, DDS 22625 Pacific Hwy S, Des Moines, WA 98198-5110 Ph: (206) 878-5665	Tetsuya Shirasuka, DDS 22625 Pacific Hwy S, Des Moines, WA 98198-5110 Ph: (206) 878-5665

Reviews and Comments

Dentist in Des Moines, WA

Kianoosh Behshid, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 22625 Pacific Hwy S, Des Moines, WA 98198 Phone: 206-878-5665 Fax: 206-870-1504
Dr. Barry Douglas Peyton, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 22221 7th Ave S, Suite A, Des Moines, WA 98198 Phone: 206-824-8288 Fax: 206-824-3859
Dr. Vivian Hyun Jin Bae, DDS Dentist Medicare: Medicare Enrolled Practice Location: 20710 1st Ave S, Des Moines, WA 98198 Phone: 206-878-8180 Fax: 206-878-5823
Mamatha Chenepalli, DMD Dentist Medicare: Medicare Enrolled Practice Location: 22625 Pacific Hwy S, Des Moines, WA 98198 Phone: 206-878-5665 Fax: 206-870-1504
Albert Wong, DMD, MPH Dentist Medicare: Medicare Enrolled Practice Location: 26401 Pacific Hwy S Ste 201, Des Moines, WA 98198 Phone: 206-870-3600
Dr. Charles Tiu Lee, DDS Dentist Medicare: Medicare Enrolled Practice Location: 26401 Pacific Hwy S Ste 201, Des Moines, WA 98198 Phone: 206-870-3600
Nha-tran D. Tran, DDS Dentist Medicare: Medicare Enrolled Practice Location: 22625 Pacific Hwy S, Des Moines, WA 98198 Phone: 206-878-5665

Tetsuya Shirasuka, DDS - Medicare Dentist in Des Moines, WA