Samuel W Huddleston Iv, MD - Medicare Plastic And Reconstructive Surgery in Kingsport, TN

Samuel W Huddleston Iv, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Kingsport, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. His current practice location is 2002 Brookside Drive, Ste 201, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 245-7080.

Samuel W Huddleston Iv is licensed to practice in Tennessee (license number 15029) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770508525.

Contact Information

Samuel W Huddleston Iv, MD
2002 Brookside Drive, Ste 201,
Kingsport, TN 37660
(423) 245-7080
(423) 245-7875

Map and Direction




Physician's Profile

Full NameSamuel W Huddleston Iv
GenderMale
SpecialityPlastic And Reconstructive Surgery
Experience41 Years
Location2002 Brookside Drive, Kingsport, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samuel W Huddleston Iv attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1983
  NPI Data:
  • NPI Number: 1770508525
  • Provider Enumeration Date: 07/13/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9931116993
  • Enrollment ID: I20060315000738

Medical Identifiers

Medical identifiers for Samuel W Huddleston Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770508525NPI-NPPES
384053OtherANTHEM
15029OtherLIC
5331096OtherAETNA
3032417MedicaidTN
0070707OtherBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0122XSurgery - Plastic And Reconstructive Surgery 15029 (Tennessee)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. Samuel W Huddleston Iv allows following entities to bill medicare on his behalf.
Entity NameSam W Huddleston Iv Md Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649641200
PECOS PAC ID: 2365742038
Enrollment ID: O20151202000691

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 W Huddleston Iv 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
Samuel W Huddleston Iv, MD
2002 Brookside Drive, Ste 201,
Kingsport, TN 37660

Ph: (423) 245-7080
Samuel W Huddleston Iv, MD
2002 Brookside Drive, Ste 201,
Kingsport, TN 37660

Ph: (423) 245-7080

Reviews and Comments


Surgery Doctors in Kingsport, TN

Mark H Kadowaki, MD
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Phone: 423-408-7050    Fax: 423-408-7054
George M Testerman Jr., MD
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Andrew Phillip Kramer, D.O.
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Phone: 423-245-6101    Fax: 423-245-2396
Dr. Jeffrey R Kappa, MD
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Raymond Powell Compton,
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Dr. Elizabeth Michele Jackson, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 444 Clinchfield St, Suite 2900, Kingsport, TN 37660
Phone: 423-245-6101    Fax: 423-245-2396

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.