Sonia Kumar, DDS - Medicare Dentist in Troy, MO

Sonia Kumar, DDS is a medicare enrolled "Dentist - General Practice" provider in Troy, Missouri. Her current practice location is 5 Health Department Dr, Troy, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 528-6117.

Sonia Kumar is licensed to practice in Missouri (license number 2006028874) 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 1619959434.

Contact Information

Sonia Kumar, DDS
5 Health Department Dr,
Troy, MO 63379-4551
(636) 528-6117
(636) 528-8629

Map and Direction




Healthcare Provider's Profile

Full NameSonia Kumar
GenderFemale
SpecialityDentist - General Practice
Location5 Health Department Dr, Troy, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619959434
  • Provider Enumeration Date: 11/17/2005
  • Last Update Date: 10/02/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2062778004
  • Enrollment ID: I20171108001341

Medical Identifiers

Medical identifiers for Sonia Kumar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619959434NPI-NPPES
408388908MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 2006028874 (Missouri)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. Sonia Kumar allows following entities to bill medicare on her behalf.
Entity NameCarestl Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376685529
PECOS PAC ID: 1557269289
Enrollment ID: O20031219000441

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. Sonia Kumar 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
Sonia Kumar, DDS
5471 Dr Martin Luther King Dr,
Saint Louis, MO 63112-4265

Ph: (314) 367-5820
Sonia Kumar, DDS
5 Health Department Dr,
Troy, MO 63379-4551

Ph: (636) 528-6117

Reviews and Comments


Dentist in Troy, MO

Dr. Virginia Ann Mennemeyer, DDS, MS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 91 Troy Sq, Suite 203, Troy, MO 63379
Phone: 636-528-2141    
Tyler Braidon Hook, DMD
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Medicare: Medicare Enrolled
Practice Location: 91 Troy Sq, Troy, MO 63379
Phone: 844-853-8937    
Dr. Justin Short, DMD
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Medicare: Not Enrolled in Medicare
Practice Location: 395 E Cherry St, Troy, MO 63379
Phone: 636-462-8599    Fax: 636-462-8597
Curtis Kevin Harrell, D.D.S.,P.C.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 411 E Cherry St, Troy, MO 63379
Phone: 636-528-6820    Fax: 636-462-3226
Tyler Matthew Arpin, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 91 Troy Sq, Troy, MO 63379
Phone: 844-853-8937    
Miss Mary Margaret Geiger, DMD
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Medicare: Medicare Enrolled
Practice Location: 91 Troy Sq Ste 101, Troy, MO 63379
Phone: 844-853-8937    

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.