Edward James Pulido, MD | |
3455 Lutheran Pkwy, Suite 290, Wheat Ridge, CO 80033-6028 | |
(303) 467-1400 | |
(303) 467-1467 |
Full Name | Edward James Pulido |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 30 Years |
Location | 3455 Lutheran Pkwy, Wheat Ridge, 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 |
---|---|---|---|
1225072010 | NPI | - | NPPES |
20329110980033A008 | Other | CO | TRICARE WHEATRIDGE |
07407246 | Medicaid | CO | |
20329110981201A008 | Other | CO | TRICARE SALIDA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 39383 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lutheran Medical Center | Wheat ridge, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Colorado Trauma Services Pc | 6800895947 | 15 |
Colorado Surgical Service Pc | 7416844311 | 21 |
Entity Name | Colorado Surgical Service Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679602593 PECOS PAC ID: 7416844311 Enrollment ID: O20040304000186 |
Entity Name | Colorado Trauma Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831135391 PECOS PAC ID: 6800895947 Enrollment ID: O20061219000015 |
Mailing Address | Practice Location Address |
---|---|
Edward James Pulido, MD 3455 Lutheran Pkwy, Suite 290, Wheat Ridge, CO 80033-6028 Ph: (303) 467-1400 | Edward James Pulido, MD 3455 Lutheran Pkwy, Suite 290, Wheat Ridge, CO 80033-6028 Ph: (303) 467-1400 |
Richard A Mouchantat, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3280 Wadsworth Blvd, Suite 100, Wheat Ridge, CO 80033 Phone: 303-232-8585 Fax: 303-232-3304 | |
Jon M Burch, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3455 Lutheran Parkway, #290, Wheat Ridge, CO 80033 Phone: 303-467-1467 | |
Brian Mikkelson, PA-C Surgery Medicare: Medicare Enrolled Practice Location: 8300 W 38th Ave, Wheat Ridge, CO 80033 Phone: 303-425-4500 | |
Nelson Mozia, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 8550 W 38th Ave, 205, Wheat Ridge, CO 80033 Phone: 303-425-2797 Fax: 303-467-9510 | |
Robert Madayag, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3455 Lutheran Pkwy, Suite 290, Wheat Ridge, CO 80033 Phone: 303-467-1400 Fax: 303-467-1467 | |
Charles William Mains, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3455 Lutheran Pkwy, Suite 290, Wheat Ridge, CO 80033 Phone: 303-467-1400 Fax: 303-467-1467 |