Dr Mark D Gaughan, MD | |
523b South Camino Del Rio, Durango, CO 81303-6853 | |
(970) 247-2970 | |
(970) 259-1668 |
Full Name | Dr Mark D Gaughan |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 27 Years |
Location | 523b South Camino Del Rio, Durango, 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 |
---|---|---|---|
1790792851 | NPI | - | NPPES |
06977529 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 37711 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Regional Medical Center | Durango, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Durango Dermatology And Dermatologic Surgery Llc | 1153375902 | 6 |
Entity Name | Durango Dermatology And Dermatologic Surgery Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497811160 PECOS PAC ID: 1153375902 Enrollment ID: O20050304000492 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark D Gaughan, MD 523 S Camino Del Rio Ste B, Durango, CO 81303-6853 Ph: (970) 247-1970 | Dr Mark D Gaughan, MD 523b South Camino Del Rio, Durango, CO 81303-6853 Ph: (970) 247-2970 |
Lawrence J Gaughan, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 523b South Camino Del Rio, Durango, CO 81303 Phone: 970-247-1970 Fax: 970-259-1668 | |
Dr. Carmen Julian, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 523 S Camino Del Rio, Ste B, Durango, CO 81303 Phone: 970-247-1970 Fax: 970-259-1668 | |
Susan F Sanders, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3649 Main Ave, Durango, CO 81301 Phone: 970-375-1707 Fax: 970-382-9518 |