Dr Lon Samuel Hinckley, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Dacono, Colorado. His current practice location is
4943 State Highway 52 Ste 260, Dacono, Colorado. You can reach out to his office (for appointments etc.) via phone at
(607) 427-6362.
Dr Lon Samuel Hinckley is licensed to practice in Colorado (license number DEN.00204645) 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 1528416963.
Healthcare Provider's Profile
| Full Name | Dr Lon Samuel Hinckley |
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| Gender | Male |
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| Speciality | Dentist - Oral And Maxillofacial Surgery |
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| Location | 4943 State Highway 52 Ste 260, Dacono, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528416963
- Provider Enumeration Date: 05/26/2016
- Last Update Date: 06/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 5698069243
- Enrollment ID: I20201203000947
Medical Identifiers
Medical identifiers for Dr Lon Samuel Hinckley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528416963 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DEN-DEN-LIC-18712 (Montana) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 1548 (Wyoming) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Ohio) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DEN.00204645 (Colorado) | 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 Lon Samuel Hinckley allows following entities to bill medicare on his behalf.
| Entity Name | Billings Oral Surgery, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801093463
PECOS PAC ID: 4688761000
Enrollment ID: O20071101000499 |
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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 Lon Samuel Hinckley 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 |
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Dr Lon Samuel Hinckley, DDS
4943 State Highway 52 Ste 260,
Dacono, CO 80514-9108
Ph: (607) 427-6362 | Dr Lon Samuel Hinckley, DDS
4943 State Highway 52 Ste 260,
Dacono, CO 80514-9108
Ph: (607) 427-6362 |
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