Alan Thomas Villavicencio, MD is a medicare enrolled "Neurological Surgery" physician in Longmont, Colorado. He went to Harvard Medical School and graduated in 1995 and has 31 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice Legacy Healthcare Services Inc, Boulder Community Health and his current practice location is
2030 Mountain View Ave Ste 210, Longmont, Colorado. You can reach out to his office (for appointments etc.) via phone at
(303) 485-3560.
Alan Thomas Villavicencio is licensed to practice in Colorado (license number DR.0040687) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720033939.
Physician's Profile
| Full Name | Alan Thomas Villavicencio |
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| Gender | Male |
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| Speciality | Neurosurgery |
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| Experience | 31 Years |
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| Location | 2030 Mountain View Ave Ste 210, Longmont, Colorado |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Alan Thomas Villavicencio attended and graduated from Harvard Medical School in 1995
NPI Data:
- NPI Number: 1720033939
- Provider Enumeration Date: 05/24/2006
- Last Update Date: 02/04/2026
Medicare PECOS Information:
- PECOS PAC ID: 6103820915
- Enrollment ID: I20091118000376
Medical Identifiers
Medical identifiers for Alan Thomas Villavicencio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720033939 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207T00000X | Neurological Surgery | DR.0040687 (Colorado) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Boulder Community Health | 6800707233 | 233 |
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. Alan Thomas Villavicencio allows following entities to bill medicare on his behalf.
| Entity Name | Boulder Community Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821074196
PECOS PAC ID: 6800707233
Enrollment ID: O20040123000284 |
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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. Alan Thomas Villavicencio 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 |
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Alan Thomas Villavicencio, MD
Po Box 9049,
Boulder, CO 80301-9049
Ph: (303) 938-5700 | Alan Thomas Villavicencio, MD
2030 Mountain View Ave Ste 210,
Longmont, CO 80501-3180
Ph: (303) 485-3560 |
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