Dr Matthew David Pouliot, DO | |
3744 S Timberline Rd, Suite 102, Fort Collins, CO 80525-4333 | |
(970) 495-0506 | |
(970) 495-0485 |
Full Name | Dr Matthew David Pouliot |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 20 Years |
Location | 3744 S Timberline Rd, Fort Collins, 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 |
---|---|---|---|
1154584266 | NPI | - | NPPES |
132413600 | Medicaid | WY | |
10026360700 | Medicaid | NE | |
53107578 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208VP0000X | Pain Medicine - Pain Medicine | DR.0048088 (Colorado) | Primary |
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 48088 (Colorado) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Medical Center Of The Rockies | Loveland, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Poudre Valley Medical Group Llc | 9638208549 | 1607 |
Poudre Valley Medical Group Llc | 9638208549 | 1607 |
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 Matthew David Pouliot, DO 3744 S Timberline Rd, Suite 102, Fort Collins, CO 80525-4333 Ph: (970) 495-0506 | Dr Matthew David Pouliot, DO 3744 S Timberline Rd, Suite 102, Fort Collins, CO 80525-4333 Ph: (970) 495-0506 |
Ricardo A Nieves, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 1437 Riverside Ave, Fort Collins, CO 80524 Phone: 970-692-5550 Fax: 970-692-5561 | |
Dr. Orrie G Clemens, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 2001 S Shields St, Bldg L, Fort Collins, CO 80526 Phone: 970-221-0565 Fax: 970-221-0575 | |
Dr. George Edward Girardi, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 3744 S. Timberline Rd, Suite 102, Fort Collins, CO 80525 Phone: 970-495-0506 Fax: 970-495-0485 | |
Dr. James Alan Derrisaw, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1236 E Elizabeth St, Suite 1, Fort Collins, CO 80524 Phone: 970-224-2985 Fax: 970-472-9381 |