Ryan Bucknam, MD | |
1650 Cochrane Cir, Fort Carson, CO 80913-4613 | |
(719) 526-2273 | |
Not Available |
Full Name | Ryan Bucknam |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 1650 Cochrane Cir, Fort Carson, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1518311414 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207X00000X | Orthopaedic Surgery | 30755 (Nebraska) | Secondary |
207X00000X | Orthopaedic Surgery | 94486 (Georgia) | Primary |
Entity Name | Wellstar Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
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Ryan Bucknam, MD 1650 Cochrane Cir, Fort Carson, CO 80913-4613 Ph: () - | Ryan Bucknam, MD 1650 Cochrane Cir, Fort Carson, CO 80913-4613 Ph: (719) 526-2273 |
Daniel J Song, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1650 Cochrane Cir Unit Meddac, Fort Carson, CO 80913 Phone: 719-526-7440 | |
Nathan Andrew Franklin, D.O. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1650 Cochrane Cir Unit Meddac, Fort Carson, CO 80913 Phone: 719-526-7440 | |
Jacob Arthur, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1650 Cochrane Cir Rm 3100, Fort Carson, CO 80913 Phone: 719-526-7440 |