Keith Phillips Samuels, MD - Medicare Obstetrics & Gynecology in Avon, CO

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Keith Phillips Samuels, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Avon, Colorado. His current practice location is 50 Buck Creek Road, Suite 200, Avon, Colorado. You can reach out to his office (for appointments etc.) via phone at (970) 926-6340.

Keith Phillips Samuels is licensed to practice in Colorado (license number 44037) 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 1144264243.

Contact Information

Keith Phillips Samuels, MD
50 Buck Creek Road, Suite 200,
Avon, CO 81620
(970) 926-6340
(970) 926-6348

Map and Direction




Physician's Profile

Full NameKeith Phillips Samuels
GenderMale
SpecialityObstetrics & Gynecology
Location50 Buck Creek Road, Avon, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144264243
  • Provider Enumeration Date: 06/16/2006
  • Last Update Date: 02/20/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 9638166416
  • Enrollment ID: I20060105000772

Medical Identifiers

Medical identifiers for Keith Phillips Samuels such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144264243NPI-NPPES
41336305MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 44037 (Colorado)Primary

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. Keith Phillips Samuels allows following entities to bill medicare on his behalf.
Entity NameColorado Mountain Medical, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730747445
PECOS PAC ID: 5496087181
Enrollment ID: O20191030000595

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. Keith Phillips Samuels 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
Keith Phillips Samuels, MD
Po Box 4330,
Avon, CO 81620-4330

Ph: (970) 926-6340		Keith Phillips Samuels, MD
50 Buck Creek Road, Suite 200,
Avon, CO 81620

Ph: (970) 926-6340

Reviews and Comments


Obstetrics & Gynecology Doctors in Avon, CO

Dr. Pamela Bock, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 50 Buck Creek Road, Suite 200, Avon, CO 81620
Phone: 970-926-6340    Fax: 970-926-6348
Dr. Cheryl Amy Kohn, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 50 Buck Creek Road, Suite 200, Avon, CO 81620
Phone: 970-926-6340    Fax: 970-926-6348

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.