Dr Charles Joseph Musto, DMD is a medicare enrolled "Dentist - Periodontics" physician in Forty Fort, Pennsylvania. His current practice location is
920 Wyoming Ave, Ste 104, Forty Fort, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 283-3611.
Dr Charles Joseph Musto is licensed to practice in Pennsylvania (license number DS027522L) 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 1417059148.
Physician's Profile
| Full Name | Dr Charles Joseph Musto |
|---|
| Gender | Male |
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| Speciality | Dentist - Periodontics |
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| Location | 920 Wyoming Ave, Forty Fort, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1417059148
- Provider Enumeration Date: 09/02/2006
- Last Update Date: 05/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 6305060898
- Enrollment ID: I20140625000004
Medical Identifiers
Medical identifiers for Dr Charles Joseph Musto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417059148 | NPI | - | NPPES |
| 727338 | Other | PA | PA BLUE SHIELD |
| 808758 | Other | PA | FIRST PRIORITY HEALTH BC |
| 727338 | Other | PA | UNITED CONCORDIA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | DP027522A (Pennsylvania) | Secondary |
| 1223P0300X | Dentist - Periodontics | DS027522L (Pennsylvania) | 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. Dr Charles Joseph Musto 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 |
|---|
Dr Charles Joseph Musto, DMD
920 Wyoming Ave Ste 203,
Forty Fort, PA 18704-3999
Ph: (570) 283-3611 | Dr Charles Joseph Musto, DMD
920 Wyoming Ave, Ste 104,
Forty Fort, PA 18704-3970
Ph: (570) 283-3611 |
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