Samuel Ricker, PA is a
Physician Assistant based in Menasha, Wisconsin. Samuel Ricker is licensed to practice in * (Not Available) (license number ) and his current practice location is
1550 Midway Pl, Menasha, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 727-8100.
NPI number for Samuel Ricker is 1194560565 and his current mailing address is 1550 Midway Pl, Menasha, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194560565.
Provider's Profile
| Full Name | Samuel Ricker |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 1550 Midway Pl, Menasha, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1194560565
- Provider Enumeration Date: 06/27/2024
- Last Update Date: 08/22/2024
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
NOT enrolled with medicare and thus cannot 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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