Andrew Creadore, MD is a medicare enrolled "Dermatology" physician in Johnstown, Colorado. He went to Boston University School Of Medicine and graduated in 2016 and has 10 years of diverse experience with area of expertise as Dermatology. His current practice location is
4795 Larimer Pkwy Ste 150, Johnstown, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 342-2222.
Andrew Creadore is licensed to practice in Colorado (license number DR.0076926) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1477139327.
Physician's Profile
| Full Name | Andrew Creadore |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 10 Years |
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| Location | 4795 Larimer Pkwy Ste 150, Johnstown, Colorado |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Andrew Creadore attended and graduated from Boston University School Of Medicine in 2016
NPI Data:
- NPI Number: 1477139327
- Provider Enumeration Date: 03/22/2021
- Last Update Date: 10/14/2026
Medicare PECOS Information:
- PECOS PAC ID: 7719376052
- Enrollment ID: I20250923002034
Medical Identifiers
Medical identifiers for Andrew Creadore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1477139327 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207N00000X | Dermatology | DR.0076926 (Colorado) | Primary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | DR.0076926 (Colorado) | Secondary |
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. Andrew Creadore allows following entities to bill medicare on his behalf.
| Entity Name | Faculty Physicians and Surgeons of Llusm |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
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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. Andrew Creadore 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 |
Andrew Creadore, MD 4795 Larimer Pkwy Ste 150, Johnstown, CO 80534-9588 Ph: (970) 342-2222 | Andrew Creadore, MD 4795 Larimer Pkwy Ste 150, Johnstown, CO 80534-9588 Ph: (970) 342-2222 |
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