| Justin L Kidd, PA | |
|
1725 E Boulder St, Ste 101, Colorado Springs, CO 80909-5768 | |
| (719) 365-9916 | |
| (719) 365-9969 |
| Full Name | Justin L Kidd |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 1725 E Boulder St, Colorado Springs, 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 |
|---|---|---|---|
| 1740279884 | NPI | - | NPPES |
| 38527057 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA-003632 (Colorado) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 003902 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uch-memorial Health System | Colorado springs, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optumcare Colorado Medical Group Llc | 2769706431 | 96 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin L Kidd, PA Po Box 35380, Las Vegas, NV 89133-5380 Ph: (719) 538-2900 | Justin L Kidd, PA 1725 E Boulder St, Ste 101, Colorado Springs, CO 80909-5768 Ph: (719) 365-9916 |
Mrs. Lauren Elizabeth Spain, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 175 S Union Blvd Ste 310, Colorado Springs, CO 80910 Phone: 719-365-1950 Fax: 719-365-1951 | |
Miss Jamie Elizabeth Brady, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 525 Bob Peters Grv Ste 302, Colorado Springs, CO 80909 Phone: 719-365-5445 Fax: 719-365-5530 | |
Varinia Vigueras, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4110 Briargate Pkwy Ste 460, Colorado Springs, CO 80920 Phone: 719-364-6488 | |
Caleb Seth Smith, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 175 S Union Blvd, Colorado Springs, CO 80910 Phone: 337-550-9939 | |
Bonnye Garman, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2020 W Colorado Ave, Suite 201, Colorado Springs, CO 80904 Phone: 719-473-3606 | |
Stacey Smith, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8115 Voyager Pkwy, Colorado Springs, CO 80920 Phone: 719-203-3300 | |
Jason Leehan, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1400 E Boulder St, Colorado Springs, CO 80909 Phone: 719-365-5000 Fax: 719-365-6827 |