Samuel Ricker, PA is a medicare enrolled "Physician Assistant" in Menasha, Wisconsin. His current practice location is
1550 Midway Pl, Menasha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 727-8100.
Samuel Ricker is licensed to practice in * (Not Available) (license number ) 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 1194560565.
Provider's Profile
Full Name | Samuel Ricker |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 1550 Midway Pl, Menasha, Wisconsin |
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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: 1194560565
- Provider Enumeration Date: 06/27/2024
- Last Update Date: 08/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 3678004793
- Enrollment ID: I20241001000316
Medical Identifiers
Medical identifiers for Samuel Ricker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194560565 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | 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. Samuel Ricker 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 |
Samuel Ricker, PA 1550 Midway Pl, Menasha, WI 54952-1165 Ph: () - | Samuel Ricker, PA 1550 Midway Pl, Menasha, WI 54952-1165 Ph: (920) 727-8100 |
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