Muthanna Yacoub, MD | |
16222 W Us Highway 24 Ste 200, Woodland Park, CO 80863-8763 | |
(719) 686-0878 | |
(719) 365-7885 |
Full Name | Muthanna Yacoub |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 9 Years |
Location | 16222 W Us Highway 24 Ste 200, Woodland Park, 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 |
---|---|---|---|
1467834440 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DR.0061892 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Uchealth Pikes Peak Regional Hospital | Woodland park, CO | Hospital |
Uch-memorial Health System | Colorado springs, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Poudre Valley Medical Group Llc | 9638208549 | 1607 |
Entity Name | Poudre Valley Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
Entity Name | Optumcare Colorado Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407252828 PECOS PAC ID: 2769706431 Enrollment ID: O20150129000413 |
Mailing Address | Practice Location Address |
---|---|
Muthanna Yacoub, MD 2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071 Ph: () - | Muthanna Yacoub, MD 16222 W Us Highway 24 Ste 200, Woodland Park, CO 80863-8763 Ph: (719) 686-0878 |
Randolph Lee James, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 403 S Baldwin Street, Woodland Park, CO 80863 Phone: 719-686-7776 Fax: 719-355-1927 | |
Anne Frailing, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 W Us Highway 24, Woodland Park, CO 80863 Phone: 719-522-1133 | |
Michael E Kinne, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 818 Misty Pines Cir, Woodland Park, CO 80863 Phone: 719-351-9767 | |
Dr. John R. Torrent, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16222 W Us Highway 24 Ste 200, Woodland Park, CO 80863 Phone: 719-686-0878 Fax: 719-686-7331 | |
Nathaniel Fortner Lee, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 16222 W Us Highway 24 Ste 200, Woodland Park, CO 80863 Phone: 719-686-0878 Fax: 719-365-7885 | |
Dr. Cory Lynn Dietz, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 700 W Us Highway 24, Woodland Park, CO 80863 Phone: 719-522-1133 |