Mr Bradley Philip Coughlin, PA-C in Colorado Springs, CO

Mr Bradley Philip Coughlin, PA-C is a medicare enrolled "Physician Assistant - Medical" in Colorado Springs, Colorado. He graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Poudre Valley Medical Group Llc and his current practice location is 2767 Janitell Rd, Colorado Springs, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 365-2888.

Mr Bradley Philip Coughlin is licensed to practice in Colorado (license number 2850) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053399451.

Contact Information

	Mr Bradley Philip Coughlin, PA-C
	2767 Janitell Rd, Colorado Springs, CO 80906-4102
	(719) 365-2888
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Bradley Philip Coughlin
Gender	Male
Speciality	Physician Assistant
Experience	22 Years
Location	2767 Janitell Rd, 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.

Medical Education and Training:

Mr Bradley Philip Coughlin graduated from nursing school in 2002

NPI Data:

NPI Number: 1053399451
Provider Enumeration Date: 01/05/2006
Last Update Date: 05/12/2020

Medicare PECOS Information:

PECOS PAC ID: 5597786459
Enrollment ID: I20100722000627

Medical Identifiers

Medical identifiers for Mr Bradley Philip Coughlin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053399451	NPI	-	NPPES
TN0141	Other	VA	JOHN DEERE HEALTH
010213355	Medicaid	VA
P00306338	Other	VA	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	0110002173 (Virginia)	Secondary
363AM0700X	Physician Assistant - Medical	2850 (Colorado)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Uch-memorial Health System	Colorado springs, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Poudre Valley Medical Group Llc	9638208549	1607

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. Mr Bradley Philip Coughlin 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
Mr Bradley Philip Coughlin, PA-C 1650 Cochrane Cir Bldg 7505, Credentials Office Rm # 163, Colorado Springs, CO 80913-4613 Ph: (719) 526-2092	Mr Bradley Philip Coughlin, PA-C 2767 Janitell Rd, Colorado Springs, CO 80906-4102 Ph: (719) 365-2888

Reviews and Comments

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Mr Bradley Philip Coughlin, PA-C - Medicare Physician Assistant in Colorado Springs, CO