Susan J Sup, DDS - Dentist in Grantsburg, WI

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Susan J Sup, DDS is a Dentist based in Grantsburg, Wisconsin. Susan J Sup is licensed to practice in Wisconsin (license number 6001364-15) and her current practice location is 302 S Pine St, Grantsburg, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (315) 657-2719.

NPI number for Susan J Sup is 1093857799 and her current mailing address is 302 S Pine St Ste 203, Grantsburg, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093857799.

Contact Information

Susan J Sup, DDS
302 S Pine St,
Grantsburg, WI 54840-7930
(315) 657-2719
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameSusan J Sup
GenderFemale
SpecialityDentist
Location302 S Pine St, Grantsburg, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093857799
  • Provider Enumeration Date: 02/12/2007
  • Last Update Date: 10/01/2025

Medical Identifiers

Medical identifiers for Susan J Sup such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093857799NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 1917286 (Illinois)Secondary
122300000XDentist 6001364-15 (Wisconsin)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. Susan J Sup is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Susan J Sup, DDS
302 S Pine St Ste 203,
Grantsburg, WI 54840-7930

Ph: () -		Susan J Sup, DDS
302 S Pine St,
Grantsburg, WI 54840-7930

Ph: (315) 657-2719

Reviews and Comments


Dentist in Grantsburg, WI

Abelardo Valdes, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 302 S Pine St, Grantsburg, WI 54840
Phone: 630-819-4181    Fax: 520-572-1021

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.