| Laurie Marguerite Mediavilla, PA-C | |
|
825 E Pikes Peak Ave, Colorado Springs, CO 80903-3624 | |
| (719) 776-8850 | |
| (719) 776-8854 |
| Full Name | Laurie Marguerite Mediavilla |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 825 E Pikes Peak Ave, Colorado Springs, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568513000 | NPI | - | NPPES |
| 71906240 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA.0001028 (Colorado) | Primary |
| 363AM0700X | Physician Assistant - Medical | 1028 (Colorado) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie Marguerite Mediavilla, PA-C 825 E Pikes Peak Ave, Colorado Springs, CO 80903-3624 Ph: (719) 776-8850 | Laurie Marguerite Mediavilla, PA-C 825 E Pikes Peak Ave, Colorado Springs, CO 80903-3624 Ph: (719) 776-8850 |
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 |