Thomas R Avonda, MD is a medicare enrolled "Family Medicine" physician in Strasburg, Colorado. His current practice location is
55981 E Colfax Ave, Strasburg, Colorado. You can reach out to his office (for appointments etc.) via phone at
(719) 632-5700.
Thomas R Avonda is licensed to practice in Colorado (license number DR.0055609) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407920101.
Physician's Profile
| Full Name | Thomas R Avonda |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 55981 E Colfax Ave, Strasburg, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1407920101
- Provider Enumeration Date: 11/17/2006
- Last Update Date: 04/03/2017
Medicare PECOS Information:
- PECOS PAC ID: 0941202295
- Enrollment ID: I20070215000348
Medical Identifiers
Medical identifiers for Thomas R Avonda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407920101 | NPI | - | NPPES |
| 31025595 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | DR.0055609 (Colorado) | Primary |
| 207Q00000X | Family Medicine | 41571 (Tennessee) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Thomas R Avonda allows following entities to bill medicare on his behalf.
| Entity Name | Medical Education Assistance Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235180480
PECOS PAC ID: 3870491269
Enrollment ID: O20040206000795 |
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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. Thomas R Avonda is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Thomas R Avonda, MD
3205 N Academy Blvd, Suite 130,
Colorado Springs, CO 80917-5147
Ph: (719) 632-5700 | Thomas R Avonda, MD
55981 E Colfax Ave,
Strasburg, CO 80136-8014
Ph: (719) 632-5700 |
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