Samuel Ricker, PA is a medicare enrolled "Physician Assistant" in Menasha, Wisconsin. He graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Ascension Medical Group-fox Valley Wisconsin Inc and 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
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 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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| Experience | 2 Years |
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| Location | 1550 Midway Pl, Menasha, Wisconsin |
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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:
- Samuel Ricker graduated from nursing school in 2024
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 |
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| 1194560565 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ascension Medical Group-fox Valley Wisconsin Inc | 0244142420 | 256 |
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 |
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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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