Taylor Samse, DDS in Tuba City, AZ - Medicare Dentist Provider

Taylor Samse, DDS is a medicare enrolled "Dentist" provider in Tuba City, Arizona. His current practice location is 167 Main Street, Tuba City, Arizona. You can reach out to his office (for appointments etc.) via phone at (866) 976-5941.

Taylor Samse is licensed to practice in Arizona (license number D011487) 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 1952036972.

Contact Information

	Taylor Samse, DDS
	167 Main Street, Tuba City, AZ 86045
	(866) 976-5941
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Taylor Samse
Gender	Male
Speciality	Dentist
Location	167 Main Street, Tuba City, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952036972
Provider Enumeration Date: 07/22/2022
Last Update Date: 07/22/2022

Medicare PECOS Information:

PECOS PAC ID: 0749662609
Enrollment ID: I20220809002425

Medical Identifiers

Medical identifiers for Taylor Samse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952036972	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	D011487 (Arizona)	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. Taylor Samse allows following entities to bill medicare on his behalf.

Entity Name	Tuba City Regional Health Care Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107

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. Taylor Samse 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
Taylor Samse, DDS 661 East Dr., Tuba City, AZ 86045 Ph: (907) 727-8295	Taylor Samse, DDS 167 Main Street, Tuba City, AZ 86045 Ph: (866) 976-5941

Reviews and Comments

Dentist in Tuba City, AZ

Dr. Kyle Minter Parks, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 167 N Main St., Tuba City, AZ 86045 Phone: 928-283-2672
Dr. Hannah Noel Despain, DMD Dentist Medicare: Medicare Enrolled Practice Location: 167 Main Street, Tuba City, AZ 86045 Phone: 502-851-2734
Ivan F Pacheco, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Dr. Kristin Elizabeth Salamon, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 167 N Main St, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Robert A Palmer, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677
Teresa Diane Kilborn, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 167 N. Main Street, Tuba City, AZ 86045 Phone: 928-283-2590 Fax: 928-283-2591
Christina L. Zeigler, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 167 N. Main St, Tuba City, AZ 86045 Phone: 928-283-2672 Fax: 928-283-2991

Taylor Samse, DDS - Medicare Dentist in Tuba City, AZ