Dr Scott Alan Deruiter, MD | |
109 S Burlington Dr, Pueblo, CO 81007-5560 | |
(719) 553-2205 | |
(833) 314-0183 |
Full Name | Dr Scott Alan Deruiter |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 23 Years |
Location | 109 S Burlington Dr, 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 |
---|---|---|---|
1093777658 | NPI | - | NPPES |
59626569 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 43016 (Colorado) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Colorado Clinic Pc | 4284524067 | 36 |
Entity Name | Southern Colorado Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285613554 PECOS PAC ID: 4284524067 Enrollment ID: O20040316001277 |
Mailing Address | Practice Location Address |
---|---|
Dr Scott Alan Deruiter, MD Po Box 9000, Pueblo, CO 81008-9000 Ph: (719) 553-2200 | Dr Scott Alan Deruiter, MD 109 S Burlington Dr, Pueblo, CO 81007-5560 Ph: (719) 553-2205 |
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 |