Dr Phillip M Ecker, MD is a medicare enrolled "Dermatology" physician in Wayzata, Minnesota. He went to Stanford University School Of Medicine and graduated in 2008 and has 17 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Ecker Dermatology Pa, Tareen Dermatology Pa and his current practice location is
1905 Wayzata Blvd Ste 240, Wayzata, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(952) 222-8149.
Dr Phillip M Ecker is licensed to practice in Minnesota (license number 47896) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1851378020.
Physician's Profile
| Full Name | Dr Phillip M Ecker |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 17 Years |
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| Location | 1905 Wayzata Blvd Ste 240, Wayzata, Minnesota |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Phillip M Ecker attended and graduated from Stanford University School Of Medicine in 2008
NPI Data:
- NPI Number: 1851378020
- Provider Enumeration Date: 12/28/2005
- Last Update Date: 11/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 7517997877
- Enrollment ID: I20050816000854
Medical Identifiers
Medical identifiers for Dr Phillip M Ecker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1851378020 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207N00000X | Dermatology | 47896 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Ecker Dermatology Pa | 3375995343 | 2 |
| Tareen Dermatology Pa | 8123288156 | 35 |
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 Phillip M Ecker allows following entities to bill medicare on his behalf.
| Entity Name | Tareen Dermatology Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063782621 PECOS PAC ID: 8123288156 Enrollment ID: O20120328000470 |
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| Entity Name | Ecker Dermatology Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598538258 PECOS PAC ID: 3375995343 Enrollment ID: O20240116002638 |
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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 Phillip M 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 Address | Practice Location Address |
Dr Phillip M Ecker, MD 1905 Wayzata Blvd Ste 240, Wayzata, MN 55391-5006 Ph: (952) 222-8149 | Dr Phillip M Ecker, MD 1905 Wayzata Blvd Ste 240, Wayzata, MN 55391-5006 Ph: (952) 222-8149 |
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