Dr Mark A Sutor, DDS MSD in Bloomington, IN - Medicare Dentist Provider

Dr Mark A Sutor, DDS MSD is a medicare enrolled "Dentist - Periodontics" provider in Bloomington, Indiana. His current practice location is 379 S Park Ridge Rd, Bloomington, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 333-4550.

Dr Mark A Sutor is licensed to practice in Indiana (license number 12009269) 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 1265565253.

Contact Information

	Dr Mark A Sutor, DDS MSD
	379 S Park Ridge Rd, Bloomington, IN 47401-8574
	(812) 333-4550
	(812) 333-5789

Healthcare Provider's Profile

Full Name	Dr Mark A Sutor
Gender	Male
Speciality	Dentist - Periodontics
Location	379 S Park Ridge Rd, Bloomington, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265565253
Provider Enumeration Date: 03/13/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6406119965
Enrollment ID: I20180416000003

Medical Identifiers

Medical identifiers for Dr Mark A Sutor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265565253	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0300X	Dentist - Periodontics	12009269 (Indiana)	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 Mark A Sutor 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 Mark A Sutor, DDS MSD 379 S Park Ridge Rd, Bloomington, IN 47401-8574 Ph: (812) 333-4550	Dr Mark A Sutor, DDS MSD 379 S Park Ridge Rd, Bloomington, IN 47401-8574 Ph: (812) 333-4550

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Dentist in Bloomington, IN

William Edward Arnold Jr., D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 2600 E 10th St, Bloomington, IN 47408 Phone: 812-339-9494 Fax: 812-339-6487
Elizabeth Huck, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1550 S Liberty Dr, Bloomington, IN 47403 Phone: 812-340-1365
Dr. Allen Wesley Meier, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3901 Hagan St, Suite B, Bloomington, IN 47401 Phone: 812-333-6363 Fax: 812-333-1196
Charles Y. Coghlan, D.M.D., M.S.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2911 E Covenanter Dr, Bloomington, IN 47401 Phone: 812-332-9269 Fax: 812-335-9052
Dr. Lisa Jane Baker, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 4217 E 3rd St, Bloomington, IN 47401 Phone: 812-332-2000
Stacy Caldwell, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1121 W 2nd St, Bloomington, IN 47403 Phone: 812-339-1671
John Kevin Coghlan, D.D.S, M.S.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2911 E Covenanter Dr, Bloomington, IN 47401 Phone: 812-332-9296

Dr Mark A Sutor, DDS MSD - Medicare Dentist in Bloomington, IN