Samuel Mckenna, MD, DDS in Nashville, TN - Medicare Maxillofacial Surgery Provider

Samuel Mckenna, MD, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Nashville, Tennessee. He went to Un Of California, Irvine, College Of Medicine and graduated in 1983 and has 43 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice Vanderbilt University Medical Center and his current practice location is 719 Thompson Ln Ste 30330, Nashville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 322-3000.

Samuel Mckenna is licensed to practice in Tennessee (license number 15993) 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 1376635706.

Contact Information

	Samuel Mckenna, MD, DDS
	719 Thompson Ln Ste 30330, Nashville, TN 37204-4701
	(615) 322-3000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samuel Mckenna
Gender	Male
Speciality	Maxillofacial Surgery
Experience	43 Years
Location	719 Thompson Ln Ste 30330, Nashville, Tennessee
Accepts Medicare Assignments	Yes. 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 Mckenna attended and graduated from Un Of California, Irvine, College Of Medicine in 1983

NPI Data:

NPI Number: 1376635706
Provider Enumeration Date: 09/30/2006
Last Update Date: 12/23/2025

Medicare PECOS Information:

PECOS PAC ID: 2567590557
Enrollment ID: I20100512000765

Medical Identifiers

Medical identifiers for Samuel Mckenna such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376635706	NPI	-	NPPES
Q003502	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	6909 (Tennessee)	Secondary
204E00000X	Oral & Maxillofacial Surgery	15993 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Vanderbilt University Medical Center	Nashville, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vanderbilt University Medical Center	5092023416	2960

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 Mckenna allows following entities to bill medicare on his behalf.

Entity Name	Vanderbilt University Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369

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 Mckenna 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
Samuel Mckenna, MD, DDS 3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691 Ph: (615) 936-2000	Samuel Mckenna, MD, DDS 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 Ph: (615) 322-3000

Samuel Mckenna, MD, DDS - Medicare in Nashville, TN