Richard A Mouchantat, MD | |
3280 Wadsworth Blvd, Suite 100, Wheat Ridge, CO 80033-4628 | |
(303) 232-8585 | |
(303) 232-3304 |
Full Name | Richard A Mouchantat |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 35 Years |
Location | 3280 Wadsworth Blvd, 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 |
---|---|---|---|
1013937390 | NPI | - | NPPES |
01337831 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | DR.0033783 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lutheran Medical Center | Wheat ridge, CO | Hospital |
Entity Name | Mouchantat Plastic Surgery Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255502753 PECOS PAC ID: 2163490764 Enrollment ID: O20040921001322 |
Mailing Address | Practice Location Address |
---|---|
Richard A Mouchantat, MD 3280 Wadsworth Blvd, Suite 100, Wheat Ridge, CO 80033-4628 Ph: (303) 232-8585 | Richard A Mouchantat, MD 3280 Wadsworth Blvd, Suite 100, Wheat Ridge, CO 80033-4628 Ph: (303) 232-8585 |
Jon M Burch, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3455 Lutheran Parkway, #290, Wheat Ridge, CO 80033 Phone: 303-467-1467 | |
Edward James Pulido, 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 | |
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 |