Sam Willden Slade, in Kingman, AZ - Medicare Emergency Medicine

Sam Willden Slade, is a medicare enrolled "Emergency Medicine" physician in Kingman, Arizona. He went to Touro Un Col Of Osteopathic Medicine, Henderson and graduated in 2017 and has 7 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Lutheran Hospital Association Of The San Luis Valley and his current practice location is 3269 N Stockton Hill Rd, Kingman, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 757-0649.

Sam Willden Slade is licensed to practice in Colorado (license number CDR.0001413) 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 1972041093.

Contact Information

	Sam Willden Slade,
	3269 N Stockton Hill Rd, Kingman, AZ 86409-3619
	(928) 757-0649
	Not Available

Map and Direction

Physician's Profile

Full Name	Sam Willden Slade
Gender	Male
Speciality	Emergency Medicine
Experience	7 Years
Location	3269 N Stockton Hill Rd, Kingman, Arizona
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:

Sam Willden Slade attended and graduated from Touro Un Col Of Osteopathic Medicine, Henderson in 2017

NPI Data:

NPI Number: 1972041093
Provider Enumeration Date: 02/09/2017
Last Update Date: 12/29/2021

Medicare PECOS Information:

PECOS PAC ID: 1850714155
Enrollment ID: I20211213001309

Medical Identifiers

Medical identifiers for Sam Willden Slade such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972041093	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	007800 (Arizona)	Secondary
207P00000X	Emergency Medicine	CDR.0001413 (Colorado)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
San Luis Valley Health	Alamosa, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lutheran Hospital Association Of The San Luis Valley	4789589094	110

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. Sam Willden Slade allows following entities to bill medicare on his behalf.

Entity Name	Lutheran Hospital Association Of The San Luis Valley
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235181744 PECOS PAC ID: 4789589094 Enrollment ID: O20031201000318

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. Sam Willden Slade 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
Sam Willden Slade, 2611 Diamond Spur St, Kingman, AZ 86401-7323 Ph: (702) 300-0628	Sam Willden Slade, 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 Ph: (928) 757-0649

Reviews and Comments

Emergency Medicine Doctors in Kingman, AZ

Brian Jahnny, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3269 Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-757-0649 Fax: 928-681-8638
Joseph Aaron Bradbury, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3269 Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-757-0649
Jeremy Gabriel Barnes, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3350 Harrison St Apt 124, Kingman, AZ 86409 Phone: 602-301-5909
Daniel Porter, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3269 N Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-757-2101
Dr. Michael Edward Sheehy, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3269 Stockton Hill Rd, Kingman, AZ 86409 Phone: 702-274-8220 Fax: 928-692-4150
Katie Sumpter, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3269 N Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-757-2101
Dr. Adrian Q Gomez, D.O Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3269 Stockton Hill Rd, Kingman, AZ 86409 Phone: 928-757-0649 Fax: 928-681-8638

Sam Willden Slade, - Medicare Emergency Medicine in Kingman, AZ