Dr Ji Moon Sur, DMD in Dublin, CA - Medicare Dentist Provider

Dr Ji Moon Sur, DMD is a medicare enrolled "Dentist - General Practice" provider in Dublin, California. Her current practice location is 5073 Piper Glen Ter, Dublin, California. You can reach out to her office (for appointments etc.) via phone at (215) 275-4585.

Dr Ji Moon Sur is licensed to practice in California (license number DDS105329) 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 1174864169.

Contact Information

	Dr Ji Moon Sur, DMD
	5073 Piper Glen Ter, Dublin, CA 94568-7490
	(215) 275-4585
	Not Available

Healthcare Provider's Profile

Full Name	Dr Ji Moon Sur
Gender	Female
Speciality	Dentist - General Practice
Location	5073 Piper Glen Ter, Dublin, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174864169
Provider Enumeration Date: 03/15/2013
Last Update Date: 01/18/2024

Medicare PECOS Information:

PECOS PAC ID: 0648551655
Enrollment ID: I20210406000610

Medical Identifiers

Medical identifiers for Dr Ji Moon Sur such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174864169	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	DDS105329 (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. Dr Ji Moon Sur 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 Ji Moon Sur, DMD 6086 Hillbrook Pl, Dublin, CA 94568-7316 Ph: (215) 275-4585	Dr Ji Moon Sur, DMD 5073 Piper Glen Ter, Dublin, CA 94568-7490 Ph: (215) 275-4585

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Dentist in Dublin, CA

Shayan Baig, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3746 Fallon Rd, Dublin, CA 94568 Phone: 925-803-0100
Dr. Alex Le Sing Wong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4536 Dublin Blvd, Dublin, CA 94568 Phone: 925-828-9000 Fax: 925-828-8855
Yi-an Chiang, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 7046 Dublin Blvd, Dublin, CA 94568 Phone: 919-265-9624
Dr. Frederick L. Johnston, D.D.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 4101 Dublin Blvd, Suite E, Dublin, CA 94568 Phone: 925-833-0535 Fax: 925-833-8019
Dr. Shradha Bharadia, Dentist Medicare: Not Enrolled in Medicare Practice Location: Fallon Dental Group, 3746 Fallon Rd, Dublin, CA 94568 Phone: 669-294-6562
Dr. Qizhi Hu, Dentist Medicare: Not Enrolled in Medicare Practice Location: 7036 Dublin Blvd, Dublin, CA 94568 Phone: 858-722-6330
David Zhang, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6366 Clark Ave, Dublin, CA 94568 Phone: 925-803-9888

Dr Ji Moon Sur, DMD - Medicare Dentist in Dublin, CA