Samir Waris, MD, DMD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Phoenix, Arizona. He went to Mayo Medical School and graduated in 2016 and has 10 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice Charleston Area Medical Center Inc, District Medical Group Inc and his current practice location is
2525 E Roosevelt St, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at
(602) 344-1015.
Samir Waris is licensed to practice in Arizona (license number 74684) 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 1952748196.
Healthcare Provider's Profile
| Full Name | Samir Waris |
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| Gender | Male |
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| Speciality | Maxillofacial Surgery |
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| Experience | 10 Years |
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| Location | 2525 E Roosevelt St, Phoenix, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Samir Waris attended and graduated from Mayo Medical School in 2016
NPI Data:
- NPI Number: 1952748196
- Provider Enumeration Date: 05/29/2013
- Last Update Date: 02/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 2466686712
- Enrollment ID: I20200701003215
Medical Identifiers
Medical identifiers for Samir Waris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952748196 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223G0001X | Dentist - General Practice | D012389 (Arizona) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 62798 (Minnesota) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | D13292 (Minnesota) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 74684 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Charleston Area Medical Center Inc | 3375441637 | 859 |
| District Medical Group Inc | 7315086691 | 406 |
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. Samir Waris allows following entities to bill medicare on his behalf.
| Entity Name | Charleston Area Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124248752
PECOS PAC ID: 3375441637
Enrollment ID: O20031223000426 |
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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. Samir Waris 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 |
|---|
Samir Waris, MD, DMD
2929 E Thomas Rd,
Phoenix, AZ 85016-8034
Ph: (602) 470-5000 | Samir Waris, MD, DMD
2525 E Roosevelt St,
Phoenix, AZ 85008-4948
Ph: (602) 344-1015 |
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