Dr Daniel David Sumrok, MD is a medicare enrolled "Psychiatry & Neurology - Addiction Medicine" physician in Mc Kenzie, Tennessee. His current practice location is
1894 Cedar St, 1301 Primacy Parkway, Mc Kenzie, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 352-0603.
Dr Daniel David Sumrok is licensed to practice in Tennessee (license number 21860) 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 1669461679.
Physician's Profile
| Full Name | Dr Daniel David Sumrok |
|---|
| Gender | Male |
|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
|---|
| Location | 1894 Cedar St, Mc Kenzie, Tennessee |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1669461679
- Provider Enumeration Date: 10/21/2005
- Last Update Date: 07/07/2026
Medicare PECOS Information:
- PECOS PAC ID: 1254315500
- Enrollment ID: I20040615001154
Medical Identifiers
Medical identifiers for Dr Daniel David Sumrok such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669461679 | NPI | - | NPPES |
| 207113001 | Medicaid | AR | |
| 3063617 | Medicaid | TN | |
| 710068160 | Medicaid | KY | |
| 03488833 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | MD0000021860 (Tennessee) | Secondary |
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | 21860 (Tennessee) | 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 Daniel David Sumrok allows following entities to bill medicare on his behalf.
| Entity Name | Cedar Recovery Center Of Middle Tennessee, Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1801345285
PECOS PAC ID: 0446671440
Enrollment ID: O20200529001321 |
|---|
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 Daniel David Sumrok 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 |
|---|
Dr Daniel David Sumrok, MD
1894 Cedar St,
Mc Kenzie, TN 38201-2206
Ph: (731) 352-0603 | Dr Daniel David Sumrok, MD
1894 Cedar St, 1301 Primacy Parkway,
Mc Kenzie, TN 38201-2206
Ph: (731) 352-0603 |
Reviews and Comments