- Medicare in Pueblo, CO

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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.

is licensed to practice in Colorado (license number 31499) and it also participates in the medicare program. 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.

Contact Information

3960 Ivywood Ln,
Pueblo, CO 81005-2567
(719) 565-1276
(719) 565-2313

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityPain Medicine - Pain Medicine
Location3960 Ivywood Ln, Pueblo, Colorado
Accepts Medicare AssignmentsMedicare 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 such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821363557NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 4867 (Colorado)Secondary
208VP0000XPain Medicine - Pain Medicine 31499 (Colorado)Primary
225100000XPhysical 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. acts as a billing entity for following providers:
Provider NameRobert J Avila
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1245248400
PECOS PAC ID: 0941465769
Enrollment ID: I20120629000072
Provider NameJuan Ruban Lopez
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1205151339
PECOS PAC ID: 9133415896
Enrollment ID: I20160906001340

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. 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

3960 Ivywood Ln,
Pueblo, CO 81005-2567

Ph: (719) 565-1276
3960 Ivywood Ln,
Pueblo, CO 81005-2567

Ph: (719) 565-1276

Reviews and Comments



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.