Keith Phillips Samuels, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Avon, Colorado. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 1989 and has 35 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Colorado Mountain Medical, Llc and his current practice location is
50 Buck Creek Road, Suite 200, Avon, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 926-6340.
Keith Phillips Samuels is licensed to practice in Colorado (license number 44037) 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 1144264243.
Physician's Profile
| Full Name | Keith Phillips Samuels |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 35 Years |
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| Location | 50 Buck Creek Road, Avon, Colorado |
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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:
- Keith Phillips Samuels attended and graduated from Louisiana State University School Of Medicine In New Orleans in 1989
NPI Data:
- NPI Number: 1144264243
- Provider Enumeration Date: 06/16/2006
- Last Update Date: 02/20/2017
Medicare PECOS Information:
- PECOS PAC ID: 9638166416
- Enrollment ID: I20060105000772
Medical Identifiers
Medical identifiers for Keith Phillips Samuels such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144264243 | NPI | - | NPPES |
| 41336305 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 44037 (Colorado) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Colorado Mountain Medical, Llc | 5496087181 | 62 |
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. Keith Phillips Samuels allows following entities to bill medicare on his behalf.
| Entity Name | Colorado Mountain Medical, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730747445
PECOS PAC ID: 5496087181
Enrollment ID: O20191030000595 |
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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. Keith Phillips Samuels 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 |
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Keith Phillips Samuels, MD
Po Box 4330,
Avon, CO 81620-4330
Ph: (970) 926-6340 | Keith Phillips Samuels, MD
50 Buck Creek Road, Suite 200,
Avon, CO 81620
Ph: (970) 926-6340 |
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