Dr Rakesh Kumar Khosla, MD | |
4112 Outlook Blvd Ste 303, Pueblo, CO 81008-1667 | |
(719) 557-8600 | |
(719) 557-8615 |
Full Name | Dr Rakesh Kumar Khosla |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 40 Years |
Location | 4112 Outlook Blvd Ste 303, 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 |
---|---|---|---|
1952466336 | NPI | - | NPPES |
04131738 | Medicaid | CO | |
P01078514 | Other | CO | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | DR.0026878 (Colorado) | Secondary |
207Q00000X | Family Medicine | 26878 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Parkview Medical Center, Inc | Pueblo, CO | Hospital |
St Mary Corwin Med Ctr, Centura Health | Pueblo, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pueblo Sports And Family Medicine, Pllc | 5991060253 | 3 |
Entity Name | Pueblo Sports And Family Medicine, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225525132 PECOS PAC ID: 5991060253 Enrollment ID: O20180607002142 |
Mailing Address | Practice Location Address |
---|---|
Dr Rakesh Kumar Khosla, MD 4112 Outlook Blvd Ste 303, Pueblo, CO 81008-1667 Ph: (719) 557-8600 | Dr Rakesh Kumar Khosla, MD 4112 Outlook Blvd Ste 303, Pueblo, CO 81008-1667 Ph: (719) 557-8600 |
Dr. Camila Teresa Robles, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5872 | |
Dr. Queenter Kisang, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3676 Parker Blvd, Pueblo, CO 81008 Phone: 719-553-1804 Fax: 833-916-2047 | |
Steven Nafziger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1619 N Greenwood St, Suite 204, Pueblo, CO 81003 Phone: 719-544-1551 Fax: 719-544-1493 | |
Dr. Dana G Riley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Colorado Ave, Pueblo, CO 81004 Phone: 719-543-8711 Fax: 719-543-5340 | |
Dr. Terry Liefde, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5855 Fax: 719-557-5097 | |
Spencer Bruce Hegerhorst, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5872 Fax: 719-557-4780 | |
Dr. Scott Alan Deruiter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 109 S Burlington Dr, Pueblo, CO 81007 Phone: 719-553-2205 Fax: 833-314-0183 |