Dr Sam Blake Campbell, DDS in Tahlequah, OK

Dr Sam Blake Campbell, DDS is a medicare enrolled "Dentist" provider in Tahlequah, Oklahoma. His current practice location is 100 S Bliss Ave, Tahlequah, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 458-3100.

Dr Sam Blake Campbell is licensed to practice in Oklahoma (license number 7184) 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 1275190688.

Contact Information

	Dr Sam Blake Campbell, DDS
	100 S Bliss Ave, Tahlequah, OK 74464-2512
	(918) 458-3100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Sam Blake Campbell
Gender	Male
Speciality	Dentist
Location	100 S Bliss Ave, Tahlequah, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275190688
Provider Enumeration Date: 05/21/2019
Last Update Date: 05/21/2019

Medicare PECOS Information:

PECOS PAC ID: 1759790702
Enrollment ID: I20210504002538

Medical Identifiers

Medical identifiers for Dr Sam Blake Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275190688	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	7184 (Oklahoma)	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. Dr Sam Blake Campbell allows following entities to bill medicare on his behalf.

Entity Name	Cherokee Nation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628

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. Dr Sam Blake Campbell 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
Dr Sam Blake Campbell, DDS Po Box 972, Tahlequah, OK 74465-0972 Ph: (918) 207-5274	Dr Sam Blake Campbell, DDS 100 S Bliss Ave, Tahlequah, OK 74464-2512 Ph: (918) 458-3100

Reviews and Comments

Dentist in Tahlequah, OK

Thomas Craig Been, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 19600 E Ross St, Tahlequah, OK 74464 Phone: 539-234-1000 Fax: 918-453-1339
Jane Mechelle Speed, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 19600 E Ross St, Tahlequah, OK 74464 Phone: 539-234-1000 Fax: 918-453-1339
Dr. Sanah Ali, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1200 W 4th St, Tahlequah, OK 74464 Phone: 918-458-9100
Dr. Thomason Michael Mcconnell, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 1200 W 4th St, Suite A, Tahlequah, OK 74464 Phone: 918-458-9100 Fax: 918-458-9200
Mark David Smith, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1205 E Ross Bypass, Tahlequah, OK 74464 Phone: 918-456-2555 Fax: 918-456-2444
Dr. Ann E. Riley, DDS Dentist Medicare: Medicare Enrolled Practice Location: 407 Daisy Dr, Suite A, Tahlequah, OK 74464 Phone: 918-431-0202 Fax: 918-431-0203
Dr. Michael Francis Gmurek, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 Fax: 918-458-3628

Dr Sam Blake Campbell, DDS - Medicare Dentist in Tahlequah, OK