Dr Samuel Blake Ecker, DO is a medicare enrolled "Dermatology" physician in Laramie, Wyoming. His current practice location is
204 Mccollum St Ste 106e, Laramie, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(970) 682-3377.
Dr Samuel Blake Ecker is licensed to practice in Colorado (license number 0061328) 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 1033555230.
Physician's Profile
| Full Name | Dr Samuel Blake Ecker |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 204 Mccollum St Ste 106e, Laramie, Wyoming |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Samuel Blake Ecker attended and graduated from in
NPI Data:
- NPI Number: 1033555230
- Provider Enumeration Date: 05/14/2013
- Last Update Date: 09/27/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Samuel Blake Ecker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033555230 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 6858A (Wyoming) | Secondary |
| 207N00000X | Dermatology | 0061328 (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 Samuel Blake Ecker 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 Samuel Blake Ecker, DO
2710 Westridge Ct,
Fort Collins, CO 80526-6503
Ph: (970) 682-3377 | Dr Samuel Blake Ecker, DO
204 Mccollum St Ste 106e,
Laramie, WY 82070-5151
Ph: (970) 682-3377 |
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