Mr Jamal Alexander Kussad, DDS in Lyndonville, VT - Medicare Dentist Provider

Mr Jamal Alexander Kussad, DDS is a medicare enrolled "Dentist - General Practice" provider in Lyndonville, Vermont. His current practice location is 282 Pinehurst St, Lyndonville, Vermont. You can reach out to his office (for appointments etc.) via phone at (802) 427-3323.

Mr Jamal Alexander Kussad is licensed to practice in Vermont (license number 016.0133972) 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 1073689204.

Contact Information

	Mr Jamal Alexander Kussad, DDS
	282 Pinehurst St, Lyndonville, VT 05851
	(802) 427-3323
	(802) 427-3332

Healthcare Provider's Profile

Full Name	Mr Jamal Alexander Kussad
Gender	Male
Speciality	Dentist - General Practice
Location	282 Pinehurst St, Lyndonville, Vermont
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073689204
Provider Enumeration Date: 11/28/2006
Last Update Date: 06/06/2022

Medicare PECOS Information:

PECOS PAC ID: 0840591624
Enrollment ID: I20151221001440

Medical Identifiers

Medical identifiers for Mr Jamal Alexander Kussad such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073689204	NPI	-	NPPES
6708822	Medicaid	VT
1073689204	Other	VT	ID NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	21855 (Texas)	Secondary
1223G0001X	Dentist - General Practice	016.0133972 (Vermont)	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. Mr Jamal Alexander Kussad 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
Mr Jamal Alexander Kussad, DDS Po Box 85, Lyndonville, VT 05851-0085 Ph: (802) 427-3323	Mr Jamal Alexander Kussad, DDS 282 Pinehurst St, Lyndonville, VT 05851 Ph: (802) 427-3323

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Dentist in Lyndonville, VT

Dr. Ron Caric, DDS Dentist Medicare: Medicare Enrolled Practice Location: 510 Broad St, Lyndonville, VT 05851 Phone: 802-626-6111
Dr. John Edgar Hoover Armstrong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 282 Pinehurst Street, Lyndonville, VT 05851 Phone: 802-626-9573
Dr. Ken M. Burchesky, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Main St., Lyndonville, VT 05851 Phone: 802-626-3235

Mr Jamal Alexander Kussad, DDS - Medicare Dentist in Lyndonville, VT