Dr Samo Jacob Dovgan, MD is a
Radiology - Diagnostic Radiology physician based in Pueblo West, Colorado. Dr Samo Jacob Dovgan is licensed to practice in Colorado (license number DR.0015318) and his current practice location is 1173 S Los Charros Dr, Pueblo West, Colorado. He can be reached at his office (for appointments etc.) via phone at
(719) 547-8796.
NPI number for Dr Samo Jacob Dovgan is 1437544780 and his current mailing address is P.o. Box 7610, Pueblo West, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437544780.
Physician's Profile
| Full Name | Dr Samo Jacob Dovgan |
|---|
| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 1173 S Los Charros Dr, Pueblo West, Colorado |
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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: 1437544780
- Provider Enumeration Date: 04/03/2015
- Last Update Date: 04/03/2015
Medical Identifiers
Medical identifiers for Dr Samo Jacob Dovgan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437544780 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | DR.0015318 (Colorado) | 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. Dr Samo Jacob Dovgan 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 |
|---|
Dr Samo Jacob Dovgan, MD
P.o. Box 7610,
Pueblo West, CO 81007-6198
Ph: (719) 547-8796 | Dr Samo Jacob Dovgan, MD
1173 S Los Charros Dr,
Pueblo West, CO 81007-6198
Ph: (719) 547-8796 |
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