Travis G Lundell, AA-C | |
1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 | |
(719) 365-6999 | |
(719) 365-2837 |
Full Name | Travis G Lundell |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 10 Years |
Location | 1400 E Boulder St Ste 2508, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225446537 | NPI | - | NPPES |
PENDING | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 2014026440 (Missouri) | Secondary |
367H00000X | Anesthesiologist Assistant | ANT.0000138 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Uch-memorial Health System | Colorado springs, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Poudre Valley Medical Group Llc | 9638208549 | 1607 |
Entity Name | Poudre Valley Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
Mailing Address | Practice Location Address |
---|---|
Travis G Lundell, AA-C 2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071 Ph: (970) 624-4034 | Travis G Lundell, AA-C 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 Ph: (719) 365-6999 |
Jennifer Nguyen, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909 Phone: 719-365-6999 | |
Mr. Drew Willliam Renfroe, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909 Phone: 719-365-6999 Fax: 719-365-2837 | |
Warren Beck, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909 Phone: 719-365-6999 Fax: 719-365-2837 | |
Benjamin M Durtschi, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909 Phone: 719-365-6999 Fax: 719-365-2837 | |
Mrs. Charlotte Rebecca Johnson, C-AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St, Colorado Springs, CO 80909 Phone: 719-365-5000 | |
Andrea L Croshal, RA -AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909 Phone: 719-365-6999 Fax: 719-365-2837 |