Innovation Medical Group is a
Podiatrist based in Pagosa Springs, Colorado. Innovation Medical Group is licensed to practice in * (Not Available) (license number ) and their current practice location is
27b Talisman Dr Unit 2, Pagosa Springs, Colorado. It can be reached at their office (for appointments etc.) via phone at
(970) 903-9853.
NPI number for Innovation Medical Group is 1871290288 and their current mailing address is 6405 S 3000 E Ste 300, Salt Lake City, Utah. Innovation Medical Group
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1871290288.
Healthcare Provider's Profile
Full Name | Innovation Medical Group |
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Type | Facility |
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Speciality | Podiatrist |
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Location | 27b Talisman Dr Unit 2, Pagosa Springs, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871290288
- Provider Enumeration Date: 02/15/2023
- Last Update Date: 02/06/2024
Medical Identifiers
Medical identifiers for Innovation Medical Group such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871290288 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | (* (Not Available)) | Primary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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. Innovation Medical Group is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Innovation Medical Group 6405 S 3000 E Ste 300, Salt Lake City, UT 84121-6977 Ph: (801) 266-3113 | Innovation Medical Group 27b Talisman Dr Unit 2, Pagosa Springs, CO 81147-7914 Ph: (970) 903-9853 |
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