Samantha N Hirt, DMD, MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Shreveport, Louisiana. Her current practice location is
1541 Kings Hwy, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(318) 626-0000.
Samantha N Hirt is licensed to practice in Louisiana (license number 7617) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1386100949.
Healthcare Provider's Profile
Full Name | Samantha N Hirt |
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Gender | Female |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 1541 Kings Hwy, Shreveport, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1386100949
- Provider Enumeration Date: 02/19/2019
- Last Update Date: 02/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 6608312103
- Enrollment ID: I20240720000017
Medical Identifiers
Medical identifiers for Samantha N Hirt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386100949 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 7617 (Louisiana) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 7617 (Louisiana) | 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. Samantha N Hirt allows following entities to bill medicare on her behalf.
Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
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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. Samantha N Hirt 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 |
Samantha N Hirt, DMD, MD 1541 Kings Hwy, Attn: Payor Credentialing, Shreveport, LA 71103-4228 Ph: () - | Samantha N Hirt, DMD, MD 1541 Kings Hwy, Shreveport, LA 71103-4228 Ph: (318) 626-0000 |
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