Ms Suzan Sabagh, DDS is a medicare enrolled "Pain Medicine - Pain Medicine" provider in Los Angeles, California. Her current practice location is
11980 San Vicente Blvd Ste 814, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(760) 436-6365.
Ms Suzan Sabagh is licensed to practice in California (license number 48671) 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 1649440595.
Healthcare Provider's Profile
Full Name | Ms Suzan Sabagh |
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Gender | Female |
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Speciality | Pain Medicine - Pain Medicine |
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Location | 11980 San Vicente Blvd Ste 814, Los Angeles, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1649440595
- Provider Enumeration Date: 03/06/2008
- Last Update Date: 12/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 1557899879
- Enrollment ID: I20250114001153
Medical Identifiers
Medical identifiers for Ms Suzan Sabagh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649440595 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223X2210X | Dentist - Orofacial Pain | 48671 (California) | Secondary |
208VP0000X | Pain Medicine - Pain Medicine | 48671 (California) | Primary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 48671 (California) | Secondary |
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. Ms Suzan Sabagh allows following entities to bill medicare on her behalf.
Entity Name | Bradley A Eli Dental Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962533919 PECOS PAC ID: 1557682804 Enrollment ID: O20150611001901 |
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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. Ms Suzan Sabagh 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 |
Ms Suzan Sabagh, DDS 16501 Falda Ave Ste L, Torrance, CA 90504-1412 Ph: (310) 493-1133 | Ms Suzan Sabagh, DDS 11980 San Vicente Blvd Ste 814, Los Angeles, CA 90049-6606 Ph: (760) 436-6365 |
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