Mr Kenneth Gordon Meyers Jr, NP is a medicare enrolled "Program Of All-inclusive Care For The Elderly (pace) Provider Organization" in Colorado Springs, Colorado. His current practice location is
1605 N Union Blvd, Colorado Springs, Colorado. You can reach out to his office (for appointments etc.) via phone at
(719) 635-3764.
Mr Kenneth Gordon Meyers Jr is licensed to practice in Colorado (license number 0996511) 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 1134899800.
Provider's Profile
| Full Name | Mr Kenneth Gordon Meyers Jr |
|---|
| Gender | Male |
|---|
| Speciality | Program Of All-inclusive Care For The Elderly (pace) Provider Organization |
|---|
| Location | 1605 N Union Blvd, 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: 1134899800
- Provider Enumeration Date: 09/15/2021
- Last Update Date: 10/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 7517335730
- Enrollment ID: I20221119000340
Medical Identifiers
Medical identifiers for Mr Kenneth Gordon Meyers Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134899800 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 0996511 (Colorado) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 0996511 (Colorado) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 0996511 (Colorado) | Secondary |
| 251T00000X | Program Of All-inclusive Care For The Elderly (pace) Provider Organization | 0996511 (Colorado) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Kenneth Gordon Meyers Jr allows following entities to bill medicare on his behalf.
| Entity Name | Signify Health Medical Associates Of Colorado Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1023625662
PECOS PAC ID: 8527474899
Enrollment ID: O20210311000251 |
|---|
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 Kenneth Gordon Meyers Jr 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 Kenneth Gordon Meyers Jr, NP
5935 Northwind Dr,
Colorado Springs, CO 80918-4809
Ph: (719) 200-7589 | Mr Kenneth Gordon Meyers Jr, NP
1605 N Union Blvd,
Colorado Springs, CO 80909-2828
Ph: (719) 635-3764 |
Reviews and Comments