Dr Jon Eric Derksen, MD | |
1644 Medical Center Pt Ste 200, Colorado Springs, CO 80907-5765 | |
(719) 634-1994 | |
(719) 634-2906 |
Full Name | Dr Jon Eric Derksen |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 24 Years |
Location | 1644 Medical Center Pt Ste 200, Colorado Springs, 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 |
---|---|---|---|
1649254905 | NPI | - | NPPES |
48473081 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 43884 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Uchealth Pikes Peak Regional Hospital | Woodland park, CO | Hospital |
Uch-memorial Health System | Colorado springs, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Colorado Springs Urological Associates Llc | 6709155393 | 19 |
Entity Name | Colorado Springs Urological Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649704826 PECOS PAC ID: 6709155393 Enrollment ID: O20170713002171 |
Mailing Address | Practice Location Address |
---|---|
Dr Jon Eric Derksen, MD 1644 Medical Center Pt Ste 200, Colorado Springs, CO 80907-5765 Ph: (719) 634-1994 | Dr Jon Eric Derksen, MD 1644 Medical Center Pt Ste 200, Colorado Springs, CO 80907-5765 Ph: (719) 634-1994 |
Patrick O Faricy, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 75 Printers Pkwy, Colorado Springs, CO 80910 Phone: 719-634-1994 Fax: 719-634-2906 | |
Dr. Gannon Lee Curtis, MD Urology Medicare: Medicare Enrolled Practice Location: 175 S Union Blvd Ste 315, Colorado Springs, CO 80910 Phone: 719-365-3700 | |
Dr. Gary William Bong, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 6071 E Woodmen Rd, Suite 300, Colorado Springs, CO 80923 Phone: 719-531-7007 Fax: 719-531-7122 | |
Dr. Eric Donald Biewenga, M.D. Urology Medicare: Medicare Enrolled Practice Location: 3843 Rio Vista Dr Ste 2300, Colorado Springs, CO 80917 Phone: 719-365-3700 Fax: 719-365-3701 | |
Dakota Jordan, PA-C Urology Medicare: Accepting Medicare Assignments Practice Location: 175 S Union Blvd Ste 315, Colorado Springs, CO 80910 Phone: 719-365-3700 | |
Dr. Thomas Constantine Lowrey, MD Urology Medicare: Medicare Enrolled Practice Location: 6071 E Woodmen Rd Ste 300, Colorado Springs, CO 80923 Phone: 719-531-7007 Fax: 719-531-7122 | |
Dr. Molly E Williams, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 175 S Union Blvd Ste 315, Colorado Springs, CO 80910 Phone: 719-365-3700 Fax: 719-365-3701 |