Dr Patricio Javier Sumaza, DMD - Medicare Dentist in Mayaguez, PR

Dr Patricio Javier Sumaza, DMD is a medicare enrolled "Dentist - Endodontics" provider in Mayaguez, Puerto Rico. His current practice location is 351 Ave Hostos, Ste 211, Mayaguez, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at (787) 986-3636.

Dr Patricio Javier Sumaza is licensed to practice in Puerto Rico (license number 2496) 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 1457356180.

Contact Information

Dr Patricio Javier Sumaza, DMD
351 Ave Hostos, Ste 211,
Mayaguez, PR 00680-1503
(787) 986-3636
(787) 805-1610

Map and Direction




Healthcare Provider's Profile

Full NameDr Patricio Javier Sumaza
GenderMale
SpecialityDentist - Endodontics
Location351 Ave Hostos, Mayaguez, Puerto Rico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457356180
  • Provider Enumeration Date: 06/17/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8527210319
  • Enrollment ID: I20121129000556

Medical Identifiers

Medical identifiers for Dr Patricio Javier Sumaza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457356180NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223E0200XDentist - Endodontics 2496 (Puerto Rico)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Patricio Javier Sumaza allows following entities to bill medicare on his behalf.
Entity NamePatricio J Sumaza Dmd Csp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295732147
PECOS PAC ID: 7719139500
Enrollment ID: O20121129000525

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 Patricio Javier Sumaza 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 AddressPractice Location Address
Dr Patricio Javier Sumaza, DMD
351 Ave Hostos,
Mayaguez, PR 00680-1502

Ph: (787) 986-3636
Dr Patricio Javier Sumaza, DMD
351 Ave Hostos, Ste 211,
Mayaguez, PR 00680-1503

Ph: (787) 986-3636

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.