Dr Samuel James Rickerl, MD - Medicare Obstetrics & Gynecology in De Witt, IA

Dr Samuel James Rickerl, MD is a medicare enrolled "Obstetrics & Gynecology" physician in De Witt, Iowa. His current practice location is 121 6th Ave, De Witt, Iowa. You can reach out to his office (for appointments etc.) via phone at (563) 357-6980.

Dr Samuel James Rickerl is licensed to practice in Iowa (license number MD-31160) 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 1437103736.

Contact Information

Dr Samuel James Rickerl, MD
121 6th Ave,
De Witt, IA 52742-2041
(563) 357-6980
(563) 202-5307



Physician's Profile

Full NameDr Samuel James Rickerl
GenderMale
SpecialityObstetrics & Gynecology
Location121 6th Ave, De Witt, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437103736
  • Provider Enumeration Date: 05/20/2006
  • Last Update Date: 12/10/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5597855742
  • Enrollment ID: I20091207000118

Medical Identifiers

Medical identifiers for Dr Samuel James Rickerl such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437103736NPI-NPPES
023235OtherHEALTH ALLIANCE
19351OtherMIDLANDS CHOICE
0137570MedicaidIA
27198OtherIOWA HEALTH SOLUTIONS
55200OtherIAWELLMARK BC/BS
IA0165OtherJOHN DEERE HEALTH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology MD-31160 (Iowa)Primary
207V00000XObstetrics & Gynecology 036102988 (Illinois)Secondary

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 James Rickerl allows following entities to bill medicare on his behalf.
Entity NameSioux Valley Memorial Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083610190
PECOS PAC ID: 4880501881
Enrollment ID: O20040317001463

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Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191217001453

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Entity NameVohra Wound Physicians Of The West Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205176096
PECOS PAC ID: 5890931331
Enrollment ID: O20201230000094

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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 James Rickerl 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 James Rickerl, MD
121 6th Ave,
De Witt, IA 52742-2041

Ph: (563) 357-6980
Dr Samuel James Rickerl, MD
121 6th Ave,
De Witt, IA 52742-2041

Ph: (563) 357-6980

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Obstetrics & Gynecology Doctors in De Witt, IA


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