Samuel John Douglas, DDS - Dentist in Lees Summit, MO

Samuel John Douglas, DDS is a Dentist based in Lees Summit, Missouri. Samuel John Douglas is licensed to practice in Missouri (license number 2024021490) and his current practice location is 519 Sw 3rd St Ste G, Lees Summit, Missouri. He can be reached at his office (for appointments etc.) via phone at (816) 524-3434.

NPI number for Samuel John Douglas is 1124867924 and his current mailing address is 519 Sw 3rd St Ste G, Lees Summit, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124867924.

Contact Information

Samuel John Douglas, DDS
519 Sw 3rd St Ste G,
Lees Summit, MO 64063-2278
(816) 524-3434
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameSamuel John Douglas
GenderMale
SpecialityDentist
Location519 Sw 3rd St Ste G, Lees Summit, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124867924
  • Provider Enumeration Date: 05/21/2024
  • Last Update Date: 06/11/2024

Medical Identifiers

Medical identifiers for Samuel John Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124867924NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 2024021490 (Missouri)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. Samuel John Douglas is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samuel John Douglas, DDS
519 Sw 3rd St Ste G,
Lees Summit, MO 64063-2278

Ph: (816) 524-3434
Samuel John Douglas, DDS
519 Sw 3rd St Ste G,
Lees Summit, MO 64063-2278

Ph: (816) 524-3434

Reviews and Comments


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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).

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