Lucas Raymond King, | |
3676 Parker Blvd., Ste 310, Pueblo, CO 81008-2215 | |
(719) 595-7780 | |
(719) 595-7789 |
Full Name | Lucas Raymond King |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 13 Years |
Location | 3676 Parker Blvd., 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 |
---|---|---|---|
1114216421 | NPI | - | NPPES |
9000148102 | Medicaid | CO |
Facility Name | Location | Facility Type |
---|---|---|
Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
Petaluma Valley Hospital | Petaluma, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Medical Foundation | 8921993205 | 1312 |
Entity Name | Providence Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Lucas Raymond King, Po Box 560825, Denver, CO 80256-0825 Ph: (719) 595-7580 | Lucas Raymond King, 3676 Parker Blvd., Ste 310, Pueblo, CO 81008-2215 Ph: (719) 595-7780 |
Shawn Jett Nakamura, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4112 Outlook Blvd Ste 37, Pueblo, CO 81008 Phone: 719-562-6254 Fax: 719-562-6255 | |
Shane Rothermel, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3676 Parker Blvd Ste 390, Pueblo, CO 81008 Phone: 719-595-7780 Fax: 719-595-7789 | |
Roger W Davis, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3676 Parker Blvd, Suite 230, Pueblo, CO 81008 Phone: 719-553-2206 Fax: 719-553-2226 | |
Dr. Alex Anthony Romero, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4112 Outlook Blvd, Suite 37, Pueblo, CO 81008 Phone: 719-562-6254 Fax: 719-562-6255 | |
Jennifer Fitzpatrick, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3676 Parker Blvd, Suite 390, Pueblo, CO 81008 Phone: 719-595-7780 Fax: 719-595-7789 | |
Lance R. Farnworth, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1919 W Us Highway 50, Pueblo, CO 81008 Phone: 719-253-7102 Fax: 719-253-7114 |