Dr Christopher Allen Wilson, DO | |
1600 N. Grand Ave., Ste 260, Pueblo, CO 81003-2729 | |
(719) 562-2010 | |
(719) 562-2097 |
Full Name | Dr Christopher Allen Wilson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 35 Years |
Location | 1600 N. Grand Ave., Pueblo, 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 |
---|---|---|---|
1295797413 | NPI | - | NPPES |
01314996 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 31499 (Colorado) | Primary |
207QH0002X | Family Medicine - Hospice And Palliative Medicine | DR.0031499 (Colorado) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Sangre De Cristo Hospice And Palliative Care | Pueblo, CO | Hospice |
Parkview Medical Center, Inc | Pueblo, CO | Hospital |
St Mary Corwin Med Ctr, Centura Health | Pueblo, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Parkview Ancillary Services Corporation | 4385722511 | 265 |
Entity Name | Parkview Ancillary Services Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982878765 PECOS PAC ID: 4385722511 Enrollment ID: O20080429000248 |
Mailing Address | Practice Location Address |
---|---|
Dr Christopher Allen Wilson, DO Po Box 560825, Denver, CO 80256-0825 Ph: (719) 595-7580 | Dr Christopher Allen Wilson, DO 1600 N. Grand Ave., Ste 260, Pueblo, CO 81003-2729 Ph: (719) 562-2010 |
Dr. Camila Teresa Robles, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5872 | |
Dr. Queenter Kisang, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3676 Parker Blvd, Pueblo, CO 81008 Phone: 719-553-1804 Fax: 833-916-2047 | |
Steven Nafziger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1619 N Greenwood St, Suite 204, Pueblo, CO 81003 Phone: 719-544-1551 Fax: 719-544-1493 | |
Dr. Dana G Riley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Colorado Ave, Pueblo, CO 81004 Phone: 719-543-8711 Fax: 719-543-5340 | |
Dr. Terry Liefde, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5855 Fax: 719-557-5097 | |
Spencer Bruce Hegerhorst, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5872 Fax: 719-557-4780 | |
Dr. Scott Alan Deruiter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 109 S Burlington Dr, Pueblo, CO 81007 Phone: 719-553-2205 Fax: 833-314-0183 |