Dr Samo Jacob Dovgan, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Pueblo West, Colorado. His current practice location is
1173 S Los Charros Dr, Pueblo West, Colorado. You can reach out to his office (for appointments etc.) via phone at
(719) 547-8796.
Dr Samo Jacob Dovgan is licensed to practice in Colorado (license number DR.0015318) 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 1437544780.
Physician's Profile
Full Name | Dr Samo Jacob Dovgan |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 1173 S Los Charros Dr, Pueblo West, Colorado |
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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: 1437544780
- Provider Enumeration Date: 04/03/2015
- Last Update Date: 04/03/2015
Medicare PECOS Information:
- PECOS PAC ID: 4082916721
- Enrollment ID: I20160112001642
Medical Identifiers
Medical identifiers for Dr Samo Jacob Dovgan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437544780 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | DR.0015318 (Colorado) | 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. Dr Samo Jacob Dovgan 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 |
Dr Samo Jacob Dovgan, MD P.o. Box 7610, Pueblo West, CO 81007-6198 Ph: (719) 547-8796 | Dr Samo Jacob Dovgan, MD 1173 S Los Charros Dr, Pueblo West, CO 81007-6198 Ph: (719) 547-8796 |
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