Samuel Beck, MD is a medicare enrolled "Pediatrics" physician in Liberty Lake, Washington. His current practice location is
23813 E Appleway Ave, Liberty Lake, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 928-6383.
Samuel Beck is licensed to practice in Washington (license number MD61270008) 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 1720402993.
Physician's Profile
| Full Name | Samuel Beck |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 23813 E Appleway Ave, Liberty Lake, Washington |
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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: 1720402993
- Provider Enumeration Date: 02/09/2014
- Last Update Date: 08/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 7719271410
- Enrollment ID: I20230619001301
Medical Identifiers
Medical identifiers for Samuel Beck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720402993 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 0101258699 (Virginia) | Secondary |
| 208000000X | Pediatrics | MD61270008 (Washington) | Primary |
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. Samuel Beck allows following entities to bill medicare on his behalf.
| Entity Name | Providence Health & Services Washington |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194099390
PECOS PAC ID: 0345139929
Enrollment ID: O20040311001453 |
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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. Samuel Beck 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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Samuel Beck, MD
Po Box 421,
Liberty Lake, WA 99019-0421
Ph: (866) 747-2455 | Samuel Beck, MD
23813 E Appleway Ave,
Liberty Lake, WA 99019-9684
Ph: (509) 928-6383 |
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