Dr Michael J Mccollum, MD | |
1008 Minnequa Ave, Pueblo, CO 81004-3733 | |
(719) 542-7891 | |
Not Available |
Full Name | Dr Michael J Mccollum |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 27 Years |
Location | 1008 Minnequa 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 |
---|---|---|---|
1003891060 | NPI | - | NPPES |
90725361 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 42869 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Mary Corwin Med Ctr, Centura Health | Pueblo, CO | Hospital |
Centura Health-st Thomas More Hospital | Canon city, CO | Hospital |
Spanish Peaks Regional Health Center | Walsenburg, CO | Hospital |
Parkview Medical Center, Inc | Pueblo, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pueblo Radiological Group, P.c. | 5597661272 | 6 |
Entity Name | Pueblo Radiological Group, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568444271 PECOS PAC ID: 5597661272 Enrollment ID: O20031211001035 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael J Mccollum, MD Po Box 7693, Loveland, CO 80537-0693 Ph: (970) 663-2742 | Dr Michael J Mccollum, MD 1008 Minnequa Ave, Pueblo, CO 81004-3733 Ph: (719) 542-7891 |
Krynn Louis Stegelmeier, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1619 N Greenwood St, Pueblo, CO 81003 Phone: 719-542-2167 | |
Geoffrey Eric Johnson, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1008 Minnequa Ave, Pueblo, CO 81004 Phone: 719-557-5460 | |
Lisa T Cramer, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1619 N Greenwood St, Suite 103, Pueblo, CO 81003 Phone: 719-542-2167 Fax: 719-542-0320 | |
William J Bufkin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 124 W Pitkin Ave, Pueblo, CO 81004 Phone: 719-584-7410 Fax: 719-542-7019 | |
Dr. Anna-maria Alicia De Costa, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1008 Minnequa Ave, Pueblo, CO 81004 Phone: 719-557-5460 Fax: 719-557-4648 | |
Gordon F Gibbs, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 115 E Riverwalk, Unit 200, Pueblo, CO 81003 Phone: 719-542-7891 |