Samantha Luise Sackos, DDS - Medicare Dentist in Monroe, NC

Samantha Luise Sackos, DDS is a medicare enrolled "Dentist - General Practice" provider in Monroe, North Carolina. Her current practice location is 2258 W Roosevelt Blvd Ste A, Monroe, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 291-7100.

Samantha Luise Sackos is licensed to practice in North Carolina (license number 60195) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043770373.

Contact Information

Samantha Luise Sackos, DDS
2258 W Roosevelt Blvd Ste A,
Monroe, NC 28110-3090
(704) 291-7100
(704) 291-7115



Healthcare Provider's Profile

Full NameSamantha Luise Sackos
GenderFemale
SpecialityDentist - General Practice
Location2258 W Roosevelt Blvd Ste A, Monroe, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043770373
  • Provider Enumeration Date: 03/22/2019
  • Last Update Date: 11/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2264774868
  • Enrollment ID: I20190501001323

Medical Identifiers

Medical identifiers for Samantha Luise Sackos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043770373NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice DD5263 (New Mexico)Secondary
1223G0001XDentist - General Practice 0006687 (Alabama)Secondary
1223G0001XDentist - General Practice 60195 (North Carolina)Primary

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. Samantha Luise Sackos 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 AddressPractice Location Address
Samantha Luise Sackos, DDS
2258 W Roosevelt Blvd Ste A,
Monroe, NC 28110-3090

Ph: () -
Samantha Luise Sackos, DDS
2258 W Roosevelt Blvd Ste A,
Monroe, NC 28110-3090

Ph: (704) 291-7100

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› Verified 3 days ago


Dentist in Monroe, NC

Dr. Jesse Eric Ricciuti, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1851 Wellness Blvd, Monroe, NC 28110
Phone: 704-291-7333    Fax: 704-292-1203
Dr. John Frank Ruocco, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1276 Stafford St, Monroe, NC 28110
Phone: 704-996-2245    
Dr. Monique Hudson-charles-pierre, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1139b N Charlotte Ave, Monroe, NC 28110
Phone: 704-289-1105    Fax: 704-289-6269
Dr. John William Galich Jr., D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1276 Stafford St, Monroe, NC 28110
Phone: 704-289-4505    Fax: 704-283-8654
Dr. Daniel R Sassano, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 704 S Sutherland Ave, Monroe, NC 28112
Phone: 704-289-9519    Fax: 704-225-1969
Dr. Melissa Sharee Jackson, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1307 Dove St, Monroe, NC 28112
Phone: 704-282-9961    

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