Dr Chad A Derosa, MD | |
1650 Cochrane Cir, Urology Service, Evans Army Community Hospital, Fort Carson, CO 80913-4613 | |
(719) 526-7115 | |
Not Available |
Full Name | Dr Chad A Derosa |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 21 Years |
Location | 1650 Cochrane Cir, Fort Carson, Colorado |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740471275 | NPI | - | NPPES |
028857 | Other | CO | KAISER COMMERCIAL NUMBER |
55980767 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 01061241A (Indiana) | Secondary |
208800000X | Urology | DR.0052374 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Longs Peak Hospital | Longmont, CO | Hospital |
Uchealth Broomfield Hospital | Broomfield, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Poudre Valley Medical Group Llc | 9638208549 | 1607 |
Entity Name | Valley View Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730897109 PECOS PAC ID: 1850294778 Enrollment ID: O20040129000027 |
Entity Name | Rocky Mountain Lithotripter Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134202435 PECOS PAC ID: 5395737985 Enrollment ID: O20040401001756 |
Entity Name | Salida Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972778272 PECOS PAC ID: 3577451152 Enrollment ID: O20040413000292 |
Entity Name | Salida Hospital District |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1730258971 PECOS PAC ID: 3577451152 Enrollment ID: O20081209000720 |
Entity Name | Poudre Valley Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
Mailing Address | Practice Location Address |
---|---|
Dr Chad A Derosa, MD 1650 Cochrane Cir, Urology Service, Fort Carson, CO 80913-4613 Ph: (719) 526-7115 | Dr Chad A Derosa, MD 1650 Cochrane Cir, Urology Service, Evans Army Community Hospital, Fort Carson, CO 80913-4613 Ph: (719) 526-7115 |
Dr. Marc Robert Walker, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1650 Cochrane Cir # B7500, Fort Carson, CO 80913 Phone: 719-526-7115 Fax: 719-526-7377 | |
John Quincy Schisler Iii, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1650 Cochrane Cir # B7500, Fort Carson, CO 80913 Phone: 719-529-7000 |