Avila Integrative Medicine is a medicare enrolled "Pain Medicine - Pain Medicine" provider in Pueblo, Colorado. Their current practice location is
3960 Ivywood Ln, Pueblo, Colorado. You can reach out to their office (for appointments etc.) via phone at
(719) 565-1276.
Avila Integrative Medicine is licensed to practice in Colorado (license number 31499) and it also participates in the medicare program. Avila Integrative Medicine
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1821363557.
Healthcare Provider's Profile
Full Name | Avila Integrative Medicine |
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Type | Facility |
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Speciality | Pain Medicine - Pain Medicine |
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Location | 3960 Ivywood Ln, Pueblo, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1821363557
- Provider Enumeration Date: 03/13/2012
- Last Update Date: 02/05/2016
Medicare PECOS Information:
- PECOS PAC ID: 3375708274
- Enrollment ID: O20120627000135
Medical Identifiers
Medical identifiers for Avila Integrative Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821363557 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 4867 (Colorado) | Secondary |
208VP0000X | Pain Medicine - Pain Medicine | 31499 (Colorado) | Primary |
225100000X | Physical Therapist | 7987 (Colorado) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Avila Integrative Medicine acts as a billing entity for following providers:
Provider Name | Robert J Avila |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1245248400 PECOS PAC ID: 0941465769 Enrollment ID: I20120629000072 |
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Provider Name | Juan Ruban Lopez |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1205151339 PECOS PAC ID: 9133415896 Enrollment ID: I20160906001340 |
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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. Avila Integrative Medicine 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 |
Avila Integrative Medicine 3960 Ivywood Ln, Pueblo, CO 81005-2567 Ph: (719) 565-1276 | Avila Integrative Medicine 3960 Ivywood Ln, Pueblo, CO 81005-2567 Ph: (719) 565-1276 |
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