David Jonas Archibald, MD is a medicare enrolled "Otolaryngology - Facial Plastic Surgery" physician in Castle Rock, Colorado. He went to Mayo Medical School and graduated in 2006 and has 18 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Vanguard Medical Specialists Llc and his current practice location is
2352 Meadows Blvd, Suite 290, Castle Rock, Colorado. You can reach out to his office (for appointments etc.) via phone at
(303) 268-2222.
David Jonas Archibald is licensed to practice in Colorado (license number DR.0053492) 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 1104041326.
Physician's Profile
| Full Name | David Jonas Archibald |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 18 Years |
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| Location | 2352 Meadows Blvd, Castle Rock, Colorado |
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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. |
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Medical Education and Training:
- David Jonas Archibald attended and graduated from Mayo Medical School in 2006
NPI Data:
- NPI Number: 1104041326
- Provider Enumeration Date: 04/14/2007
- Last Update Date: 12/04/2014
Medicare PECOS Information:
- PECOS PAC ID: 6800981978
- Enrollment ID: I20140616001822
Medical Identifiers
Medical identifiers for David Jonas Archibald such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104041326 | NPI | - | NPPES |
| 205455000 | Medicaid | MN | |
| 14F11 | Other | FL | BLUE CROSS BLUE SHIELD |
| 003610900 | Medicaid | FL | |
| 32778856 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 49658 (Minnesota) | Secondary |
| 207Y00000X | Otolaryngology | ME103522 (Florida) | Secondary |
| 207Y00000X | Otolaryngology | MD60286714 (Washington) | Secondary |
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | MD60286714 (Washington) | Secondary |
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | DR.0053492 (Colorado) | Primary |
Medical Facilities Affiliation
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. David Jonas Archibald allows following entities to bill medicare on his behalf.
| Entity Name | Vanguard Medical Specialists Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518105253
PECOS PAC ID: 9436209285
Enrollment ID: O20090616000804 |
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| Entity Name | David Archibald Md Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376955245
PECOS PAC ID: 6305060294
Enrollment ID: O20140616001634 |
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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. David Jonas Archibald 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 |
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David Jonas Archibald, MD
2352 Meadows Blvd, Suite 290,
Castle Rock, CO 80109-8406
Ph: (303) 268-2222 | David Jonas Archibald, MD
2352 Meadows Blvd, Suite 290,
Castle Rock, CO 80109-8406
Ph: (303) 268-2222 |
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