Edward Medina, PAC | |
1710 1st St, Alamosa, CO 81101-2302 | |
(719) 589-3658 | |
(719) 589-0997 |
Full Name | Edward Medina |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 26 Years |
Location | 1710 1st St, Alamosa, 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 |
---|---|---|---|
1558351460 | NPI | - | NPPES |
840706945169 | Other | CO | ROCKY MOUNTAIN HEALTH PLA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 1115 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
San Luis Valley Health | Alamosa, CO | Hospital |
San Luis Valley Health Conejos County Hospital | La jara, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Colorado Clinic Pc | 4284524067 | 36 |
Valley-wide Health Systems, Inc. | 5991609067 | 32 |
Mailing Address | Practice Location Address |
---|---|
Edward Medina, PAC 1710 1st St, Alamosa, CO 81101-2302 Ph: (719) 589-3658 | Edward Medina, PAC 1710 1st St, Alamosa, CO 81101-2302 Ph: (719) 589-3658 |
Mr. Tylen Joe Pavlovsky, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 106 Blanca Ave, Alamosa, CO 81101 Phone: 719-589-3000 | |
Edward Kulp, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2115 Stuart Ave, Alamosa, CO 81101 Phone: 719-589-8082 Fax: 719-587-6354 | |
Amy Nicole Blakeslee, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2115 Stuart Ave, Alamosa, CO 81101 Phone: 719-589-8082 | |
Johnny B Sisneros, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 106 Blanca Ave Ste 300, Alamosa, CO 81101 Phone: 719-589-3658 | |
Botond A Vita, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2115 Stuart Ave, Alamosa, CO 81101 Phone: 719-589-8091 Fax: 719-589-8112 | |
Mr. Howard William Cox, P.A.-C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 106 Blanca Ave, Alamosa, CO 81101 Phone: 719-589-8073 Fax: 719-589-8087 | |
Laticia R Hollingsworth, P.A.-C, ATC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 106 Blanca Ave, Orthopedic Department, Alamosa, CO 81101 Phone: 719-589-8091 Fax: 719-589-8012 |