Phillip Thomas Rajadas, MD is a
Physical Medicine & Rehabilitation physician based in Pueblo West, Colorado. Phillip Thomas Rajadas is licensed to practice in Colorado (license number 39112) and his current practice location is 201 S Mcculloch Blvd, Pueblo West, Colorado. He can be reached at his office (for appointments etc.) via phone at
(719) 561-5377.
NPI number for Phillip Thomas Rajadas is 1346242872 and his current mailing address is Po Box 8867, Pueblo, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346242872.
Physician's Profile
| Full Name | Phillip Thomas Rajadas |
|---|
| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
|---|
| Location | 201 S Mcculloch Blvd, Pueblo West, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1346242872
- Provider Enumeration Date: 08/15/2005
- Last Update Date: 08/06/2009
Medical Identifiers
Medical identifiers for Phillip Thomas Rajadas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346242872 | NPI | - | NPPES |
| P00281502 | Other | CO | RR MEDICARE |
| 200362640A | Medicaid | KS | |
| 13777777 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 39112 (Colorado) | Primary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 39112 (Colorado) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 04-31652 (Kansas) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Phillip Thomas Rajadas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Phillip Thomas Rajadas, MD
Po Box 8867,
Pueblo, CO 81008-8867
Ph: (719) 561-5377 | Phillip Thomas Rajadas, MD
201 S Mcculloch Blvd,
Pueblo West, CO 81007-2892
Ph: (719) 561-5377 |
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