Samuel Devictor, in Phoenix, AZ - Medicare Plastic And Reconstructive Surgery

Samuel Devictor, is a medicare enrolled "Otolaryngology - Facial Plastic Surgery" physician in Phoenix, Arizona. He went to Mercer University School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Southwest Skin Specialists Llc and his current practice location is 11130 N Tatum Blvd Ste 100, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 737-1361.

Samuel Devictor is licensed to practice in Arizona (license number 68902) 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 1619301884.

Contact Information

	Samuel Devictor,
	11130 N Tatum Blvd Ste 100, Phoenix, AZ 85028-1630
	(602) 737-1361
	Not Available

Map and Direction

Physician's Profile

Full Name	Samuel Devictor
Gender	Male
Speciality	Plastic And Reconstructive Surgery
Experience	7 Years
Location	11130 N Tatum Blvd Ste 100, Phoenix, 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:

Samuel Devictor attended and graduated from Mercer University School Of Medicine in 2017

NPI Data:

NPI Number: 1619301884
Provider Enumeration Date: 08/23/2013
Last Update Date: 08/24/2023

Medicare PECOS Information:

PECOS PAC ID: 5597004010
Enrollment ID: I20230419002820

Medical Identifiers

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

Identifier	Type	State	Issuer
1619301884	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207YS0123X	Otolaryngology - Facial Plastic Surgery	68902 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southwest Skin Specialists Llc	9739079864	47

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 Devictor allows following entities to bill medicare on his behalf.

Entity Name	Southwest Skin Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174521926 PECOS PAC ID: 9739079864 Enrollment ID: O20040319001063

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 Devictor 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 Devictor, 5310 Harvest Hill Rd Ste 290, Dallas, TX 75230-5826 Ph: () -	Samuel Devictor, 11130 N Tatum Blvd Ste 100, Phoenix, AZ 85028-1630 Ph: (602) 737-1361

Reviews and Comments

Otolaryngology Doctors in Phoenix, AZ

Dr. Shawn Michael Stevens, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2910 N 3rd Ave # 330, Phoenix, AZ 85013 Phone: 602-406-8811 Fax: 602-406-8810
Charles R Orozco, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4250 E Camelback, Suite K-250, Phoenix, AZ 85018 Phone: 602-253-9026 Fax: 602-252-6391
John David Macias, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1515 N 9th St, Suite B, Phoenix, AZ 85006 Phone: 602-257-4228 Fax: 602-252-6416
Dr. Michael L Hinni, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5779 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000
Randy Oppenheimer, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2601 E Roosevelt St, Department Of Surgery, Phoenix, AZ 85008 Phone: 602-344-5608 Fax: 602-344-1299
Austin N Dehart, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1920 E Cambridge Ave Ste 201, Phoenix, AZ 85006 Phone: 602-933-3277 Fax: 602-933-4326
Griffin Santarelli, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2910 N 3rd Ave # 330, Phoenix, AZ 85013 Phone: 602-406-8811 Fax: 602-406-8810

Samuel Devictor, - Medicare Plastic And Reconstructive Surgery in Phoenix, AZ