Susan M Cable, DDS in Kenosha, WI - Medicare Dentist Provider

Susan M Cable, DDS is a medicare enrolled "Dentist - General Practice" provider in Kenosha, Wisconsin. Her current practice location is 5707 75 Street, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 697-0321.

Susan M Cable is licensed to practice in Wisconsin (license number 3470) 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 1083634679.

Contact Information

	Susan M Cable, DDS
	5707 75 Street, Kenosha, WI 53142-3603
	(262) 697-0321
	(262) 269-0312

Healthcare Provider's Profile

Full Name	Susan M Cable
Gender	Female
Speciality	Dentist - General Practice
Location	5707 75 Street, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083634679
Provider Enumeration Date: 07/19/2006
Last Update Date: 06/17/2013

Medicare PECOS Information:

PECOS PAC ID: 1759602667
Enrollment ID: I20150603003164

Medical Identifiers

Medical identifiers for Susan M Cable such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083634679	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	3470 (Wisconsin)	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. Susan M Cable 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
Susan M Cable, DDS 5707 75 Street, Kenosha, WI 53142-3603 Ph: (262) 697-0321	Susan M Cable, DDS 5707 75 Street, Kenosha, WI 53142-3603 Ph: (262) 697-0321

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Jane Lynn Reyerson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 7117 Green Bay Rd, Kenosha, WI 53142 Phone: 262-942-7000 Fax: 262-942-7117
Dr. Cesar D Gonzalez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4536 22nd Ave, Kenosha, WI 53140 Phone: 262-656-0044 Fax: 262-653-2218
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Dr. Edmund Jung, Dentist Medicare: Medicare Enrolled Practice Location: 3715 Washington Rd, Kenosha, WI 53144 Phone: 262-654-6800 Fax: 262-657-9995
Dr. Jane Wright, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7851 Cooper Rd, Kenosha, WI 53142 Phone: 262-694-5272
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Susan M Cable, DDS - Medicare Dentist in Kenosha, WI