Samuel Jonathan Roy, D D S M D is a medicare enrolled "Plastic Surgery" physician in Salisbury, North Carolina. His current practice location is
330 Jake Alexander Blvd W, Suite 103, Salisbury, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(704) 754-2679.
Samuel Jonathan Roy is licensed to practice in North Carolina (license number ) 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 1174639983.
Physician's Profile
| Full Name | Samuel Jonathan Roy |
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| Gender | Male |
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| Speciality | Plastic Surgery |
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| Location | 330 Jake Alexander Blvd W, Salisbury, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174639983
- Provider Enumeration Date: 08/22/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3173620085
- Enrollment ID: I20070529000279
Medical Identifiers
Medical identifiers for Samuel Jonathan Roy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1174639983 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208200000X | Plastic Surgery | (North Carolina) | 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 Jonathan Roy allows following entities to bill medicare on his behalf.
| Entity Name | Piedmont Plastic & Oral Surgery Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700092681 PECOS PAC ID: 1557468402 Enrollment ID: O20070529000597 |
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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. Samuel Jonathan Roy 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 Jonathan Roy, D D S M D 302 Kingsbridge Road, Salisbury, NC 28144 Ph: (704) 680-3078 | Samuel Jonathan Roy, D D S M D 330 Jake Alexander Blvd W, Suite 103, Salisbury, NC 28147-1384 Ph: (704) 754-2679 |
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