Dr Tracy Dirk Sapp, DDS in Lebanon, IN - Medicare Dentist Provider

Dr Tracy Dirk Sapp, DDS is a medicare enrolled "Dentist" provider in Lebanon, Indiana. His current practice location is 416 W Camp St, Lebanon, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 483-4469.

Dr Tracy Dirk Sapp is licensed to practice in Indiana (license number 12009042) 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 1902864804.

Contact Information

	Dr Tracy Dirk Sapp, DDS
	416 W Camp St, Lebanon, IN 46052-1799
	(765) 483-4469
	(765) 483-4495

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tracy Dirk Sapp
Gender	Male
Speciality	Dentist
Location	416 W Camp St, Lebanon, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902864804
Provider Enumeration Date: 05/02/2006
Last Update Date: 05/09/2022

Medicare PECOS Information:

PECOS PAC ID: 6800195595
Enrollment ID: I20220120001433

Medical Identifiers

Medical identifiers for Dr Tracy Dirk Sapp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902864804	NPI	-	NPPES
100186680A	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	12009042 (Indiana)	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 Tracy Dirk Sapp allows following entities to bill medicare on his behalf.

Entity Name	Riggs Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386660900 PECOS PAC ID: 2365432226 Enrollment ID: O20040513001185

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 Tracy Dirk Sapp 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 Tracy Dirk Sapp, DDS 1716 Hartford St, Lafayette, IN 47904-2138 Ph: (765) 742-1567	Dr Tracy Dirk Sapp, DDS 416 W Camp St, Lebanon, IN 46052-1799 Ph: (765) 483-4469

Reviews and Comments

Dentist in Lebanon, IN

Dr. Lisa A Conard, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1705 Indianapolis Ave, Lebanon, IN 46052 Phone: 765-428-1060 Fax: 765-482-1060
Dr. Jeff Cartwright, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1911 N Lebanon St, Lebanon, IN 46052 Phone: 765-482-4538 Fax: 765-484-8681
Matthew Vogt, Dentist Medicare: Medicare Enrolled Practice Location: 1375 S Lebanon St Ste 200, Lebanon, IN 46052 Phone: 765-484-8951 Fax: 844-399-0385
Dr. Geffry E French, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1665 N Lebanon St, Lebanon, IN 46052 Phone: 765-482-5762
Paul Frederick Werry Ii, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1911 N Lebanon St, Lebanon, IN 46052 Phone: 765-482-4538 Fax: 765-482-6640
Dr. Michael Rory Tosh, DDS Dentist Medicare: Medicare Enrolled Practice Location: 905 N Lebanon St, Lebanon, IN 46052 Phone: 765-482-3201

Dr Tracy Dirk Sapp, DDS - Medicare Dentist in Lebanon, IN