Krystal J Holderness Nakamura, MD | |
2001 Lake Ave, Pueblo, CO 81004-3538 | |
(719) 564-5544 | |
Not Available |
Full Name | Krystal J Holderness Nakamura |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 22 Years |
Location | 2001 Lake Ave, Pueblo, Colorado |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669442422 | NPI | - | NPPES |
26722054 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 44146 (Colorado) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Skin Cancer And Dermatology Center Of Colorado Springs, P.c. | 2769474840 | 6 |
Entity Name | Skin Cancer And Dermatology Center Of Colorado Springs, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588631055 PECOS PAC ID: 2769474840 Enrollment ID: O20040330001846 |
Entity Name | Southern Colorado Dermatology Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548409139 PECOS PAC ID: 0244388270 Enrollment ID: O20090501000158 |
Mailing Address | Practice Location Address |
---|---|
Krystal J Holderness Nakamura, MD 2001 Lake Ave, Pueblo, CO 81004-3538 Ph: (719) 564-5544 | Krystal J Holderness Nakamura, MD 2001 Lake Ave, Pueblo, CO 81004-3538 Ph: (719) 564-5544 |
Sharon Marrs Kessler, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 131 Colorado Ave, Pueblo, CO 81004 Phone: 719-542-4388 Fax: 719-542-2854 | |
Dr. John Joseph Schmidt, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 509 W 17th St, Pueblo, CO 81003 Phone: 719-543-2211 Fax: 719-584-4779 | |
Kim K Dernovsek, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1925 E Orman Ave, Ste 115, Pueblo, CO 81004 Phone: 719-564-4500 Fax: 719-564-0304 | |
Judith L. Mcguinn, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1600 W. 24th Street, Pueblo, CO 81003 Phone: 719-546-4637 |