Dr Samuel Lee Koth, DDS - Medicare Dentist in Rock Valley, IA

  1. Home
  2. Dentists
  3. IA
  4. Rock Valley
Dr Samuel Lee Koth, DDS is a medicare enrolled "Dentist - General Practice" provider in Rock Valley, Iowa. His current practice location is 1220 21st Ave, Rock Valley, Iowa. You can reach out to his office (for appointments etc.) via phone at (712) 476-2749.

Dr Samuel Lee Koth is licensed to practice in Iowa (license number 08755) 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 1760794127.

Contact Information

Dr Samuel Lee Koth, DDS
1220 21st Ave,
Rock Valley, IA 51247-1420
(712) 476-2749
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Samuel Lee Koth
GenderMale
SpecialityDentist - General Practice
Location1220 21st Ave, Rock Valley, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760794127
  • Provider Enumeration Date: 07/13/2010
  • Last Update Date: 07/13/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 3678873866
  • Enrollment ID: I20151119000916

Medical Identifiers

Medical identifiers for Dr Samuel Lee Koth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760794127NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 08755 (Iowa)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. Dr Samuel Lee Koth 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 AddressPractice Location Address
Dr Samuel Lee Koth, DDS
1220 21st Ave,
Rock Valley, IA 51247-1420

Ph: (712) 476-2749		Dr Samuel Lee Koth, DDS
1220 21st Ave,
Rock Valley, IA 51247-1420

Ph: (712) 476-2749

Reviews and Comments


Dentist in Rock Valley, IA

Dr. James Alan Jespersen, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1220 21st Ave, Rock Valley, IA 51247
Phone: 712-476-2749    
Austin John Blankespoor, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1302 10th Streeet, Rock Valley, IA 51247
Phone: 712-476-2749    

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.