Shandra Suktalordcheep Pepper, DDS in Santa Clarita, CA

Shandra Suktalordcheep Pepper, DDS is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Santa Clarita, California. Her current practice location is 19255 Golden Valley Rd, Santa Clarita, California. You can reach out to her office (for appointments etc.) via phone at (661) 276-8755.

Shandra Suktalordcheep Pepper is licensed to practice in California (license number 62948) 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 1316236375.

Contact Information

	Shandra Suktalordcheep Pepper, DDS
	19255 Golden Valley Rd, Santa Clarita, CA 91387-1472
	(661) 276-8755
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shandra Suktalordcheep Pepper
Gender	Female
Speciality	Dentist - Pediatric Dentistry
Location	19255 Golden Valley Rd, Santa Clarita, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316236375
Provider Enumeration Date: 03/30/2011
Last Update Date: 07/25/2021

Medicare PECOS Information:

PECOS PAC ID: 6608196795
Enrollment ID: I20150512003114

Medical Identifiers

Medical identifiers for Shandra Suktalordcheep Pepper such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316236375	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0221X	Dentist - Pediatric Dentistry	62948 (California)	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. Shandra Suktalordcheep Pepper allows following entities to bill medicare on her behalf.

Entity Name	Childrens Hospital Los Angeles Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522

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. Shandra Suktalordcheep Pepper 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
Shandra Suktalordcheep Pepper, DDS 318 Sugar Loaf Dr, Palmdale, CA 93551-7951 Ph: (661) 266-1192	Shandra Suktalordcheep Pepper, DDS 19255 Golden Valley Rd, Santa Clarita, CA 91387-1472 Ph: (661) 276-8755

Reviews and Comments

Dentist in Santa Clarita, CA

Yun Jeong Lee, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 23206 Lyons Ave Ste 203, Santa Clarita, CA 91321 Phone: 310-998-7100
Dr. Ilya Zak, DDS Dentist Medicare: Medicare Enrolled Practice Location: 26324 Bouquet Canyon Rd, Santa Clarita, CA 91350 Phone: 661-253-4000 Fax: 661-253-4063
Andy Vu Tran, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 28212 Kelly Johnson Pkwy Ste 240, Santa Clarita, CA 91355 Phone: 661-296-7070
Dr. Megan Leraye Lecornu, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 23206 Lyons Ave Ste 206, Suite 206, Santa Clarita, CA 91321 Phone: 661-259-2388
Dr. Thanmaya Vadi, DDS Dentist Medicare: Medicare Enrolled Practice Location: 27661 Bouquet Canyon Rd, Santa Clarita, CA 91350 Phone: 661-347-0031
Dr. Pedram Soleimani, Dentist Medicare: Accepting Medicare Assignments Practice Location: 24264 Main St, Santa Clarita, CA 91321 Phone: 310-985-2000
Dr. Laurence Cree, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 23005 Soledad Canyon Rd, Santa Clarita, CA 91350 Phone: 661-254-3777 Fax: 661-254-2267

Shandra Suktalordcheep Pepper, DDS - Medicare Dentist in Santa Clarita, CA