JULIETH RAQUEL SAAB-SUAREZ DDS
NPI 1225205842
Dentist in Holyoke, MA
NPI Status: Active since May 13, 2008
Contact Information
230 MAPLE ST
HOLYOKE, MA
ZIP 01040
Phone: (413) 420-2200
Fax: (413) 539-9472
- Individual
- Female
- Dentist
- PECOS Enrolled
About JULIETH SAAB-SUAREZ
Julieth Saab-suarez is a provider established in Holyoke, Massachusetts and her medical specialization is Dentist. The healthcare provider is registered in the NPI registry with number 1225205842 assigned on May 2008. The practitioner's primary taxonomy code is 122300000X with license number DL13190 (MA). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1225205842
- Provider Name
- JULIETH RAQUEL SAAB-SUAREZ DDS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 230 MAPLE ST HOLYOKE, MA 01040
- Location Phone
- (413) 420-2200
- Location Fax
- (413) 539-9472
- Mailing Address
- 230 MAPLE ST HOLYOKE, MA 01040
- Mailing Phone
- (413) 420-2200
- Mailing Fax
- (413) 539-9472
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-13-2008
- Last Update Date
- 04-03-2017
- Code Navigator
A dentist like Julieth Saab-suarez is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist
- Taxonomy Code
- 122300000X
- Type
- Dental Providers
- License No.
- DL13190
- License State
- MA
- Taxonomy Description
- A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 122300000X | Dental Providers | Dentist | 9943 (ZZ) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Anthem Blue Cross and Blue Sheld
- Anthem Dental Family - PPO
- Anthem Dental Family Enhanced - PPO
- Anthem Dental Family Preventive - PPO
- Anthem Dental Family Value - PPO
Anthem Blue Cross and Blue Shield
- Anthem Bronze Blue Priority/Lean 0 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Blue Priority/Lean 0% for HSA - HMO
- Anthem Bronze Blue Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Blue Priority/Lean 7500/50% Standard - HMO
- Anthem Bronze Blue Priority/Lean 9450 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway 20% for HSA - EPO
- Anthem Bronze Pathway 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 6500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 7500/50% Standard - EPO
- Anthem Bronze Pathway 9450 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway Essentials 4500 (3 $0 PCP Visits + $0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway Essentials 5500 ($0 Virtual PCP + $0 Virtual Chat + $0 Select Drugs) - HMO
- Anthem Bronze Pathway Essentials 6500 HSA - HMO
- Anthem Bronze Pathway Essentials 7500 Standard - HMO
- Anthem Bronze Pathway Essentials 9450 ($0 Virtual PCP + $0 Virtual Chat + $0 Select Drugs) - HMO
- Anthem Bronze Pathway Essentials POS 5000 ($0 Virtual PCP + $0 Virtual Chat + $0 Select Drugs) - POS
- Anthem Bronze Pathway Essentials POS 7500 Standard - POS
- Anthem Bronze Pathway HMO 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway HMO 7450/0% (+ Incentives) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
PECOS Enrollment and Medicare Participation Status
Julieth Saab-suarez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 01040 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $94.07
- Minimum New Patient Price $61.32
- Maximum New Patient Price $185.12
- Average New Patient Copayment $23.51
- Minimum New Patient Copayment $15.33
- Maximum New Patient Copayment $46.28
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $76.6
- Minimum Established Patient Price $19.31
- Maximum Established Patient Price $151.47
- Average Established Patient Copayment $19.15
- Minimum Established Patient Copayment $4.82
- Maximum Established Patient Copayment $37.86
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for JULIETH RAQUEL SAAB-SUAREZ DDS
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 2 | 5 | 2 | 0 | 5 | 8 | 4 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 4 | 5 | 4 | 0 | 10 | 8 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 4 + 5 + 4 + 0 + 1 + 0 + 8 + 8 + 24 = 58 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 58 = 2 | 2 |
The NPI number 1225205842 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1316943103 | DR. MARK MANDEL ROSEMAN DDS Individual | Dentist (Pediatric Dentistry) | 230 MAPLE ST HOLYOKE, MA 01040 (413) 420-2214 |
1487624888 | RONALD LOESCHER MD Individual | Family Medicine | 230 MAPLE ST HOLYOKE, MA 01040 (413) 420-2200 |
1679543029 | JEANNE ALLEN N.P. Individual | Nurse Practitioner (Family) | 230 MAPLE ST HOLYOKE, MA 01040 (413) 420-2200 |
1063482339 | JACQUELINE SPAIN MD Individual | Pediatrics | 230 MAPLE ST HOLYOKE, MA 01040 (413) 420-2200 |
1023089208 | ROBBIE S LAUTER FNP Individual | Nurse Practitioner (Family) | 230 MAPLE ST HOLYOKE, MA 01040 (413) 420-2200 |
1083685127 | YESHVANT TALATI MD Individual | Emergency Medicine | 230 MAPLE ST HOLYOKE, MA 01040 (413) 420-2200 |
1508834912 | JANE E. BRUNELLE RN Individual | Registered Nurse (Community Health) | 230 MAPLE ST HOLYOKE, MA 01040 (413) 420-2200 |
1134198294 | ANNE E NUGENT M.D. Individual | Pediatrics | 230 MAPLE ST HOLYOKE, MA 01040 (413) 420-2200 |
1477519684 | HOLYOKE HEALTH CENTER INC. Organization | Pharmacy (Community/Retail Pharmacy) | 230 MAPLE ST HOLYOKE, MA 01040 (413) 533-7323 |
1639192602 | DR. NAO SAKURAI MD Individual | Family Medicine | 230 MAPLE ST HOLYOKE, MA 01040 (413) 420-2200 |
1427103118 | MS. LORI ANNE CARPENTER LICSW Individual | Social Worker (Clinical) | 230 MAPLE ST SUITE B1 HOLYOKE, MA 01040 (413) 532-9446 |
1952457004 | MR. STEVEN MICHAEL COLE MA. LMHC Individual | Counselor (Mental Health) | 230 MAPLE ST HOLYOKE, MA 01040 (413) 532-9446 |
1164578647 | MS. ANGELA KERSHAW MORRELL L.M.H.C. Individual | Counselor (Mental Health) | 230 MAPLE ST STE. B1 HOLYOKE, MA 01040 (413) 532-9446 |
1912043167 | GERARD ERNEST FREDETTE L.I.C.S.W. Individual | Counselor (Mental Health) | 230 MAPLE ST HOLYOKE, MA 01040 (413) 532-9446 |
1669518684 | MS. LISA A BIANCHI CRC Individual | Counselor (Mental Health) | 230 MAPLE ST SUITE B1 HOLYOKE, MA 01040 (413) 532-9446 |
1417093535 | MR. LUIS ANTONIO RIVERA-MARCUCCI LMHC Individual | Counselor (Mental Health) | 230 MAPLE ST HOLYOKE, MA 01040 (413) 532-9446 |
1255477154 | AMANDA VIRGINIA RINDONE LMHC Individual | Counselor (Mental Health) | 230 MAPLE ST B1 HOLYOKE, MA 01040 (413) 532-9446 |
1902943293 | MIGDALIA ROSADO MSW Individual | Social Worker | 230 MAPLE ST HOLYOKE, MA 01040 (413) 532-9446 |
1881730422 | MS. MYRA R. CARDONA-GRAMMO LMHC Individual | Counselor (Mental Health) | 230 MAPLE ST HOLYOKE, MA 01040 (413) 532-9446 |
1376689935 | MS. JOANNE HELEN GILMAN MSW, LCSW Individual | Social Worker (Clinical) | 230 MAPLE ST HOLYOKE, MA 01040 (413) 532-9446 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225205842, enumerated in the NPI registry as an "individual" on May 13, 2008
The provider is located at 230 Maple St Holyoke, Ma 01040 and the phone number is (413) 420-2200
The provider's speciality is Dentist with taxonomy code 122300000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Sheld and Anthem Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of May 10, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $94.07 with an average copayment of $23.51 for new patient appointments. Established patients should expect a typical charge of $76.6 and an average copayment of 19.15. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on May 13, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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