Dr Charles Joseph Musto, DMD in Forty Fort, PA - Medicare Dentist

Dr Charles Joseph Musto, DMD is a medicare enrolled "Dentist - Periodontics" physician in Forty Fort, Pennsylvania. His current practice location is 920 Wyoming Ave, Ste 104, Forty Fort, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 283-3611.

Dr Charles Joseph Musto is licensed to practice in Pennsylvania (license number DS027522L) 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 1417059148.

Contact Information

	Dr Charles Joseph Musto, DMD
	920 Wyoming Ave, Ste 104, Forty Fort, PA 18704-3970
	(570) 283-3611
	(570) 283-3396

Physician's Profile

Full Name	Dr Charles Joseph Musto
Gender	Male
Speciality	Dentist - Periodontics
Location	920 Wyoming Ave, Forty Fort, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417059148
Provider Enumeration Date: 09/02/2006
Last Update Date: 05/30/2023

Medicare PECOS Information:

PECOS PAC ID: 6305060898
Enrollment ID: I20140625000004

Medical Identifiers

Medical identifiers for Dr Charles Joseph Musto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417059148	NPI	-	NPPES
727338	Other	PA	PA BLUE SHIELD
808758	Other	PA	FIRST PRIORITY HEALTH BC
727338	Other	PA	UNITED CONCORDIA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	DP027522A (Pennsylvania)	Secondary
1223P0300X	Dentist - Periodontics	DS027522L (Pennsylvania)	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 Charles Joseph Musto 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 Charles Joseph Musto, DMD 920 Wyoming Ave Ste 203, Forty Fort, PA 18704-3999 Ph: (570) 283-3611	Dr Charles Joseph Musto, DMD 920 Wyoming Ave, Ste 104, Forty Fort, PA 18704-3970 Ph: (570) 283-3611

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Dr Charles Joseph Musto, DMD - Medicare Dentist in Forty Fort, PA