Dr Dustin R Ridout, MD | |
2045 Franklin St, Denver, CO 80205-5437 | |
(303) 338-4545 | |
Not Available |
Full Name | Dr Dustin R Ridout |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 29 Years |
Location | 2045 Franklin St, Denver, 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 |
---|---|---|---|
1053448084 | NPI | - | NPPES |
32706537 | Medicaid | CO | |
012703 | Other | KAISER-COMMERCIAL NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 39345 (Colorado) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pro Health One Inc | 2466778089 | 19 |
Entity Name | Pro Health One Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053714584 PECOS PAC ID: 2466778089 Enrollment ID: O20171120000890 |
Mailing Address | Practice Location Address |
---|---|
Dr Dustin R Ridout, MD 2045 Franklin St, Denver, CO 80205-5437 Ph: (303) 338-4545 | Dr Dustin R Ridout, MD 2045 Franklin St, Denver, CO 80205-5437 Ph: (303) 338-4545 |
Dr. John William Tillett, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 850 E Harvard Ave Ste 305, Denver, CO 80210 Phone: 303-825-8822 Fax: 303-825-4022 | |
Dr. Edward Allen Rhodes, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2005 E 18th Ave, Denver, CO 80206 Phone: 303-321-4212 Fax: 303-388-2459 | |
Milford Ray Painter Jr., Urology Medicare: Not Enrolled in Medicare Practice Location: 2635 Walnut St, Denver, CO 80205 Phone: 877-320-1692 | |
Austin Banning Derosa, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2777 Mile High Stadium Cir, Denver, CO 80211 Phone: 303-825-8822 Fax: 303-825-4022 | |
Dr. John Landiss Logan, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2005 E 18th Ave, Denver, CO 80206 Phone: 303-321-4212 Fax: 303-388-2459 | |
Dr. Benjamin Carpenter, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2777 Mile High Stadium Cir, Denver, CO 80211 Phone: 303-825-8822 Fax: 303-825-4022 |