| Lucas R Derting, PA-C | |
|
1600 North Grand Avenue, Suite 500, Pueblo, CO 81003-2757 | |
| (719) 545-0663 | |
| (719) 595-7903 |
| Full Name | Lucas R Derting |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 1600 North Grand Avenue, Pueblo, 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 |
|---|---|---|---|
| 1306846381 | NPI | - | NPPES |
| 63720345 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1080 (Colorado) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 1080 (Colorado) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkview Medical Center, Inc | Pueblo, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Parkview Ancillary Services Corporation | 4385722511 | 265 |
| Mailing Address | Practice Location Address |
|---|---|
| Lucas R Derting, PA-C Po Box 560825, Denver, CO 80256-0825 Ph: (719) 595-7580 | Lucas R Derting, PA-C 1600 North Grand Avenue, Suite 500, Pueblo, CO 81003-2757 Ph: (719) 545-0663 |
Vi T Pham, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1080 Chinook Ln, Pueblo, CO 81001 Phone: 719-564-9400 Fax: 719-564-0497 | |
Abigail Kristin Arinder, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Colorado Ave, Pueblo, CO 81004 Phone: 719-543-8711 | |
Mark Davis, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5855 | |
Mr. Juan Carlos Herraez Sanchez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4000 | |
Abrianna Rain Adler, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3670 Parker Blvd Ste 200, Pueblo, CO 81008 Phone: 303-338-4545 | |
Shyanna Anness Neu, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1315 Fortino Blvd Ste C, Pueblo, CO 81008 Phone: 719-544-2744 Fax: 844-273-9854 | |
Jennifer Margaret Ziegler, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 909 Court St, Pueblo, CO 81003 Phone: 719-583-6125 |