Dr Samantha Jean Sutton, DDS is a medicare enrolled "Dentist" provider in Mound City, Missouri. Her current practice location is
1303 State St, Mound City, Missouri. You can reach out to her office (for appointments etc.) via phone at
(660) 442-5464.
Dr Samantha Jean Sutton is licensed to practice in Missouri (license number 2007017222) 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 1548469398.
Healthcare Provider's Profile
Full Name | Dr Samantha Jean Sutton |
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Gender | Female |
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Speciality | Dentist |
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Location | 1303 State St, Mound City, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548469398
- Provider Enumeration Date: 07/12/2007
- Last Update Date: 07/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 1951607647
- Enrollment ID: I20160307000743
Medical Identifiers
Medical identifiers for Dr Samantha Jean Sutton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548469398 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 2007017222 (Missouri) | Primary |
1223D0001X | Dentist - Dental Public Health | 2007017222 (Missouri) | Secondary |
1223G0001X | Dentist - General Practice | 2007017222 (Missouri) | Secondary |
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 Samantha Jean Sutton 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 Samantha Jean Sutton, DDS 718 Cherry St, Chillicothe, MO 64601-2210 Ph: (660) 973-3615 | Dr Samantha Jean Sutton, DDS 1303 State St, Mound City, MO 64470-1717 Ph: (660) 442-5464 |
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