Mrs Lily Dandy Bultema, CNM is a medicare enrolled "Advanced Practice Midwife" in Ft Carson, Colorado. Her current practice location is
1650 Cochrane Cir, Ft Carson, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 526-7746.
Mrs Lily Dandy Bultema is licensed to practice in Colorado (license number 5878) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508003351.
Provider's Profile
Full Name | Mrs Lily Dandy Bultema |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 1650 Cochrane Cir, Ft Carson, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508003351
- Provider Enumeration Date: 01/15/2009
- Last Update Date: 11/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 7810160918
- Enrollment ID: I20111107000330
Medical Identifiers
Medical identifiers for Mrs Lily Dandy Bultema such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508003351 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | 5878 (Colorado) | 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. Mrs Lily Dandy Bultema 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 |
Mrs Lily Dandy Bultema, CNM 1305 N Cascade Ave, Colorado Springs, CO 80903-2305 Ph: (719) 659-3060 | Mrs Lily Dandy Bultema, CNM 1650 Cochrane Cir, Ft Carson, CO 80913-4603 Ph: (719) 526-7746 |
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