Sandeep Suresh Vijan, MD | |
23450 Us Highway 160, Walsenburg, CO 81089-8100 | |
(719) 738-4588 | |
(719) 738-4534 |
Full Name | Sandeep Suresh Vijan |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 20 Years |
Location | 23450 Us Highway 160, Walsenburg, 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 |
---|---|---|---|
1730220278 | NPI | - | NPPES |
15579026 | Medicaid | CO | |
COA102479 | Other | CO | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 48414 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Spanish Peaks Regional Health Center | Walsenburg, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Huerfano County Hospital District | 4789591769 | 27 |
Entity Name | Huerfano County Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982612065 PECOS PAC ID: 4789591769 Enrollment ID: O20040202001045 |
Entity Name | Sangre De Cristo Surgical Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184645418 PECOS PAC ID: 8224927801 Enrollment ID: O20040311001470 |
Entity Name | Huerfano County Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164835419 PECOS PAC ID: 4789591769 Enrollment ID: O20170207001777 |
Entity Name | Huerfano County Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346403375 PECOS PAC ID: 4789591769 Enrollment ID: O20170215001128 |
Entity Name | Huerfano County Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154799526 PECOS PAC ID: 4789591769 Enrollment ID: O20171006000019 |
Mailing Address | Practice Location Address |
---|---|
Sandeep Suresh Vijan, MD 23500 Us Highway 160, Walsenburg, CO 81089-9524 Ph: (719) 738-5100 | Sandeep Suresh Vijan, MD 23450 Us Highway 160, Walsenburg, CO 81089-8100 Ph: (719) 738-4588 |
Dr. Heather Irene Cook, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 23450 Us Highway 160, Walsenburg, CO 81089 Phone: 719-738-4588 | |
Dr. Dale Gillan Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 23450 Us Highway 160, Walsenburg, CO 81089 Phone: 719-738-4588 Fax: 719-738-4534 |