Ted Sugimoto, MD in Saint Joseph, MI

Ted Sugimoto, MD is a medicare enrolled "Surgery" physician in Saint Joseph, Michigan. His current practice location is 3950 Hollywood Rd, Suite 100, Saint Joseph, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 429-0900.

Ted Sugimoto is licensed to practice in Michigan (license number 4301041051) 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 1578579595.

Contact Information

	Ted Sugimoto, MD
	3950 Hollywood Rd, Suite 100, Saint Joseph, MI 49085-9159
	(269) 429-0900
	(269) 408-0996

Map and Direction

Physician's Profile

Full Name	Ted Sugimoto
Gender	Male
Speciality	Surgery
Location	3950 Hollywood Rd, Saint Joseph, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578579595
Provider Enumeration Date: 07/31/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 0941384671
Enrollment ID: I20080725000423

Medical Identifiers

Medical identifiers for Ted Sugimoto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578579595	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	4301041051 (Michigan)	Primary
174400000X	Specialist	4301041051 (Michigan)	Secondary

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. Ted Sugimoto allows following entities to bill medicare on his behalf.

Entity Name	Lakeland Medical Practices
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216

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. Ted Sugimoto 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
Ted Sugimoto, MD 6416 Deans Hill Rd, Berrien Center, MI 49102-9750 Ph: (269) 471-7741	Ted Sugimoto, MD 3950 Hollywood Rd, Suite 100, Saint Joseph, MI 49085-9159 Ph: (269) 429-0900

Reviews and Comments

Surgery Doctors in Saint Joseph, MI

Charles Raymer, MD Surgery Medicare: Medicare Enrolled Practice Location: 3901 Stonegate Park Ste 300, Saint Joseph, MI 49085 Phone: 269-556-6000
Dr. Allison Cristine Vaughan, DO Surgery Medicare: Medicare Enrolled Practice Location: 3900 Hollywood Rd, Saint Joseph, MI 49085 Phone: 269-983-3368 Fax: 269-983-2758
Stephen Francis Komara, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3900 Hollywood Rd, Saint Joseph, MI 49085 Phone: 269-983-3368 Fax: 269-983-2758
Dr. Kourosh Baghelai, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 Niles Rd Ste 6, Saint Joseph, MI 49085 Phone: 269-408-1660 Fax: 269-408-1665
Dennis Allen Rasbach, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2990 Niles Rd, Saint Joseph, MI 49085 Phone: 269-983-3368 Fax: 269-983-2758
Dr. Roy E Winslow, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3950 Hollywood Rd, Suite 100, Saint Joseph, MI 49085 Phone: 269-429-0900 Fax: 269-408-0996

Ted Sugimoto, MD - Medicare Surgery in Saint Joseph, MI