Samuel Albert Tancredi, DDS - Medicare Dentist in Indianapolis, IN

Samuel Albert Tancredi, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Indianapolis, Indiana. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice Indiana Oral And Maxillofacial Surgery Associates Pc and his current practice location is 9240 N Meridian St, Ste. 300, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 846-7377.

Samuel Albert Tancredi is licensed to practice in Indiana (license number 12010688A) 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 1073783478.

Contact Information

Samuel Albert Tancredi, DDS
9240 N Meridian St, Ste. 300,
Indianapolis, IN 46260-1880
(317) 846-7377
(317) 846-8566

Map and Direction




Healthcare Provider's Profile

Full NameSamuel Albert Tancredi
GenderMale
SpecialityOral Surgery
Experience20 Years
Location9240 N Meridian St, Indianapolis, Indiana
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 Albert Tancredi graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1073783478
  • Provider Enumeration Date: 03/03/2008
  • Last Update Date: 02/29/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5395818942
  • Enrollment ID: I20080716000050

Medical Identifiers

Medical identifiers for Samuel Albert Tancredi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073783478NPI-NPPES
200895780MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 12010688A (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Indiana Oral And Maxillofacial Surgery Associates Pc933515725410

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 Albert Tancredi allows following entities to bill medicare on his behalf.
Entity NameIndiana University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689790552
PECOS PAC ID: 6002806957
Enrollment ID: O20040602001625
Entity NameIndiana Oral & Maxillofacial Surgery Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407809585
PECOS PAC ID: 9335157254
Enrollment ID: O20060403000780

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 Albert Tancredi 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 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

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).

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.