Mr Gonzalo De Taboada, PA-C in Colorado Springs, CO

Mr Gonzalo De Taboada, PA-C is a medicare enrolled "Physician Assistant" in Colorado Springs, Colorado. 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 Gonzalo De Taboada is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1831458116.

Contact Information

	Mr Gonzalo De Taboada, PA-C
	2767 Janitell Rd, Colorado Springs, CO 80906-4102
	(719) 365-2888
	(719) 365-1577

Map and Direction

Provider's Profile

Full Name	Mr Gonzalo De Taboada
Gender	Male
Speciality	Physician Assistant
Location	2767 Janitell Rd, Colorado Springs, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831458116
Provider Enumeration Date: 05/08/2012
Last Update Date: 10/05/2023

Medicare PECOS Information:

PECOS PAC ID: 6800267550
Enrollment ID: I20230117002940

Medical Identifiers

Medical identifiers for Mr Gonzalo De Taboada such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831458116	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Primary

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 Gonzalo De Taboada 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 Gonzalo De Taboada, PA-C 2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071 Ph: (970) 624-2417	Mr Gonzalo De Taboada, PA-C 2767 Janitell Rd, Colorado Springs, CO 80906-4102 Ph: (719) 365-2888

Reviews and Comments

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Mr Gonzalo De Taboada, PA-C - Medicare Physician Assistant in Colorado Springs, CO