Samuel Albert Tancredi, DDS | |
9240 N Meridian St, Ste. 300, Indianapolis, IN 46260-1880 | |
(317) 846-7377 | |
(317) 846-8566 |
Full Name | Samuel Albert Tancredi |
---|---|
Gender | Male |
Speciality | Oral Surgery |
Experience | 21 Years |
Location | 9240 N Meridian St, Indianapolis, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073783478 | NPI | - | NPPES |
200895780 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12010688A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Indiana Oral And Maxillofacial Surgery Associates Pc | 9335157254 | 11 |
Entity Name | Indiana University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689790552 PECOS PAC ID: 6002806957 Enrollment ID: O20040602001625 |
Entity Name | Indiana Oral & Maxillofacial Surgery Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407809585 PECOS PAC ID: 9335157254 Enrollment ID: O20060403000780 |
Mailing Address | Practice Location Address |
---|---|
Samuel Albert Tancredi, DDS 10972 Allisonville Rd, Suite 110, Fishers, IN 46038-2637 Ph: (317) 913-2363 | Samuel Albert Tancredi, DDS 9240 N Meridian St, Ste. 300, Indianapolis, IN 46260-1880 Ph: (317) 846-7377 |
Dr. Jeong Hwa Hong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1121 W Michigan St, Indianapolis, IN 46202 Phone: 317-274-7957 | |
Charles G Abraham, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 550 University Blvd # Uh3195, Indianapolis, IN 46202 Phone: 317-274-8300 Fax: 317-274-8300 | |
Noah Menaker, DDS Dentist Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-944-3865 | |
Alexandra Bojrab, DDS, MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 7007 Us 31, Indianapolis, IN 46227 Phone: 317-676-3065 | |
Manpreet Kaur Dhanjal, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10110 E Washington St Ste E, Indianapolis, IN 46229 Phone: 317-897-0200 | |
Ryan Campbell Jay, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 12110 Pendleton Pike, Indianapolis, IN 46236 Phone: 317-826-1050 Fax: 317-826-1065 | |
Dr. Iris Corina Mcnicholl, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1481 West 10th Street, Indianapolis, IN 46202 Phone: 317-988-2733 Fax: 317-988-5377 |