Samuel Scroggins, DMD in Roanoke, VA - Medicare Dentist Provider

Samuel Scroggins, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Roanoke, Virginia. His current practice location is 3580 Keagy Rd Sw, Roanoke, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 989-5257.

Samuel Scroggins is licensed to practice in Virginia (license number 0401413811) 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 1487742375.

Contact Information

	Samuel Scroggins, DMD
	3580 Keagy Rd Sw, Roanoke, VA 24018-1152
	(540) 989-5257
	(540) 989-5259

Map and Direction

Healthcare Provider's Profile

Full Name	Samuel Scroggins
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	3580 Keagy Rd Sw, Roanoke, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487742375
Provider Enumeration Date: 10/10/2006
Last Update Date: 12/30/2024

Medicare PECOS Information:

PECOS PAC ID: 7214179225
Enrollment ID: I20130803000169

Medical Identifiers

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

Identifier	Type	State	Issuer
1487742375	NPI	-	NPPES
009911387	Medicaid	AL
510-06443	Other	AL	BLUE CROSS BLUE SHIELD
51529738	Other	AL	BLUE CROSS#-EASTERN DENTA
009932141	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	0401413811 (Virginia)	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. Samuel Scroggins allows following entities to bill medicare on his behalf.

Entity Name	Blue Ridge Oral Surgery, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710013446 PECOS PAC ID: 5496827834 Enrollment ID: O20080701000032

Entity Name	Southwest Virginia Oral & Maxillofacial Surgery, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972996197 PECOS PAC ID: 0749592038 Enrollment ID: O20150629002391

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 Scroggins 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 Scroggins, DMD 3580 Keagy Rd Sw, Roanoke, VA 24018-1152 Ph: (540) 989-5257	Samuel Scroggins, DMD 3580 Keagy Rd Sw, Roanoke, VA 24018-1152 Ph: (540) 989-5257

Reviews and Comments

Dentist in Roanoke, VA

Dr. Sandra Andrew, DDS Dentist Medicare: Medicare Enrolled Practice Location: 212 Highland Ave Sw, Roanoke, VA 24016 Phone: 540-344-6535 Fax: 540-345-6986
Dr. Benjamin E Shapiro, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4051 Postal Dr, Roanoke, VA 24018 Phone: 540-774-0061 Fax: 540-330-5311
Joanna Al Obaidi, Dentist Medicare: Medicare Enrolled Practice Location: 3716 Melrose Ave Nw, Roanoke, VA 24017 Phone: 540-362-0360
William Harris Vakay, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4572 Franklin Rd Sw, Roanoke, VA 24014 Phone: 540-769-5020
Ayushi Krunal Patel, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1930 Electric Rd, Roanoke, VA 24018 Phone: 540-766-4338
Dr. Albert W Parulis Jr., DMD Dentist Medicare: Accepting Medicare Assignments Practice Location: 6027 Peters Creek Rd, Roanoke, VA 24019 Phone: 540-362-5900 Fax: 540-366-5131
Lindsay Laing, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5004 Brambleton Ave, Roanoke, VA 24018 Phone: 540-774-1019

Samuel Scroggins, DMD - Medicare Dentist in Roanoke, VA