Dr Samuel James Rickerl, MD is a medicare enrolled "Obstetrics & Gynecology" physician in De Witt, Iowa. His current practice location is
121 6th Ave, De Witt, Iowa. You can reach out to his office (for appointments etc.) via phone at
(563) 357-6980.
Dr Samuel James Rickerl is licensed to practice in Iowa (license number MD-31160) 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 1437103736.
Physician's Profile
| Full Name | Dr Samuel James Rickerl |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 121 6th Ave, De Witt, Iowa |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1437103736
- Provider Enumeration Date: 05/20/2006
- Last Update Date: 12/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 5597855742
- Enrollment ID: I20091207000118
Medical Identifiers
Medical identifiers for Dr Samuel James Rickerl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437103736 | NPI | - | NPPES |
| 023235 | Other | | HEALTH ALLIANCE |
| 19351 | Other | | MIDLANDS CHOICE |
| 0137570 | Medicaid | IA | |
| 27198 | Other | | IOWA HEALTH SOLUTIONS |
| 55200 | Other | IA | WELLMARK BC/BS |
| IA0165 | Other | | JOHN DEERE HEALTH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | MD-31160 (Iowa) | Primary |
| 207V00000X | Obstetrics & Gynecology | 036102988 (Illinois) | Secondary |
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. Dr Samuel James Rickerl allows following entities to bill medicare on his behalf.
| Entity Name | Sioux Valley Memorial Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083610190
PECOS PAC ID: 4880501881
Enrollment ID: O20040317001463 |
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| Entity Name | Signify Health Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191217001453 |
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| Entity Name | Vohra Wound Physicians Of The West Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205176096
PECOS PAC ID: 5890931331
Enrollment ID: O20201230000094 |
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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. Dr Samuel James Rickerl 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 James Rickerl, MD
121 6th Ave,
De Witt, IA 52742-2041
Ph: (563) 357-6980 | Dr Samuel James Rickerl, MD
121 6th Ave,
De Witt, IA 52742-2041
Ph: (563) 357-6980 |
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