Charles Su, DDS - Medicare Dentist in Sacramento, CA

Charles Su, DDS is a medicare enrolled "Dentist - General Practice" provider in Sacramento, California. His current practice location is 7275 E Southgate Dr, 205, Sacramento, California. You can reach out to his office (for appointments etc.) via phone at (916) 399-1318.

Charles Su is licensed to practice in California (license number 42096) 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 1184723801.

Contact Information

Charles Su, DDS
7275 E Southgate Dr, 205,
Sacramento, CA 95823-2628
(916) 399-1318
Not Available



Healthcare Provider's Profile

Full NameCharles Su
GenderMale
SpecialityDentist - General Practice
Location7275 E Southgate Dr, Sacramento, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184723801
  • Provider Enumeration Date: 09/21/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9335454743
  • Enrollment ID: I20150813012018

Medical Identifiers

Medical identifiers for Charles Su such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184723801NPI-NPPES
B42096MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 42096 (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. Charles Su 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 AddressPractice Location Address
Charles Su, DDS
7275 E Southgate Dr, 205,
Sacramento, CA 95823-2628

Ph: (916) 399-1318
Charles Su, DDS
7275 E Southgate Dr, 205,
Sacramento, CA 95823-2628

Ph: (916) 399-1318

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