Dr Samuel Blake Ecker, DO - Medicare Dermatology in Laramie, WY

Dr Samuel Blake Ecker, DO is a medicare enrolled "Dermatology" physician in Laramie, Wyoming. He went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2013 and has 11 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Sage Dermatology Llc, Sage Dermatology Llc and his current practice location is 204 Mccollum St Ste 106e, Laramie, Wyoming. You can reach out to his office (for appointments etc.) via phone at (970) 682-3377.

Dr Samuel Blake Ecker is licensed to practice in Colorado (license number 0061328) 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 1033555230.

Contact Information

Dr Samuel Blake Ecker, DO
204 Mccollum St Ste 106e,
Laramie, WY 82070-5151
(970) 682-3377
(970) 682-3340



Physician's Profile

Full NameDr Samuel Blake Ecker
GenderMale
SpecialityDermatology
Experience11 Years
Location204 Mccollum St Ste 106e, Laramie, Wyoming
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Samuel Blake Ecker attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2013
  NPI Data:
  • NPI Number: 1033555230
  • Provider Enumeration Date: 05/14/2013
  • Last Update Date: 09/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6305112509
  • Enrollment ID: I20190129002988

Medical Identifiers

Medical identifiers for Dr Samuel Blake Ecker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033555230NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 6858A (Wyoming)Secondary
207N00000XDermatology 0061328 (Colorado)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sage Dermatology Llc23658408245
Sage Dermatology Llc23658408245

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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. Dr Samuel Blake Ecker allows following entities to bill medicare on his behalf.
Entity NameSage Dermatology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255002101
PECOS PAC ID: 2365840824
Enrollment ID: O20211013002764

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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. Dr Samuel Blake Ecker 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 AddressPractice Location Address
Dr Samuel Blake Ecker, DO
2710 Westridge Ct,
Fort Collins, CO 80526-6503

Ph: (970) 682-3377
Dr Samuel Blake Ecker, DO
204 Mccollum St Ste 106e,
Laramie, WY 82070-5151

Ph: (970) 682-3377

News Archive

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Dermatology Doctors in Laramie, WY


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