Anthony Richard Declusin, MD - Medicare Neurology in Longmont, CO

Anthony Richard Declusin, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Longmont, Colorado. He went to Medical College Of Wisconsin and graduated in 2018 and has 6 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Poudre Valley Medical Group Llc and his current practice location is 1925 Mountain View Ave, Longmont, Colorado. You can reach out to his office (for appointments etc.) via phone at (720) 718-8070.

Anthony Richard Declusin is licensed to practice in Colorado (license number DR.0066615) 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 1669977997.

Contact Information

Anthony Richard Declusin, MD
1925 Mountain View Ave,
Longmont, CO 80501-3128
(720) 718-8070
(720) 494-3107

Map and Direction




Physician's Profile

Full NameAnthony Richard Declusin
GenderMale
SpecialityNeurology
Experience6 Years
Location1925 Mountain View Ave, Longmont, Colorado
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Anthony Richard Declusin attended and graduated from Medical College Of Wisconsin in 2018
  NPI Data:
  • NPI Number: 1669977997
  • Provider Enumeration Date: 03/28/2018
  • Last Update Date: 07/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6507112646
  • Enrollment ID: I20220601002150

Medical Identifiers

Medical identifiers for Anthony Richard Declusin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669977997NPI-NPPES
9000163141MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice DR.0066615 (Colorado)Secondary
2084N0400XPsychiatry & Neurology - Neurology DR.0066615 (Colorado)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Longs Peak HospitalLongmont, COHospital
Medical Center Of The RockiesLoveland, COHospital
University Of Colorado Hospital AuthorityAurora, COHospital
Uchealth Broomfield HospitalBroomfield, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Poudre Valley Medical Group Llc96382085491605

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. Anthony Richard Declusin allows following entities to bill medicare on his behalf.
Entity NameDenver Health And Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477569838
PECOS PAC ID: 4688583578
Enrollment ID: O20031105000211
Entity NamePoudre Valley Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366763260
PECOS PAC ID: 9638208549
Enrollment ID: O20100602000122

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. Anthony Richard Declusin 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 AddressPractice Location Address
Anthony Richard Declusin, MD
1925 Mountain View Ave,
Longmont, CO 80501-3128

Ph: (720) 718-8070
Anthony Richard Declusin, MD
1925 Mountain View Ave,
Longmont, CO 80501-3128

Ph: (720) 718-8070

Reviews and Comments


Psychiatry & Neurology Doctors in Longmont, CO

William Louis Fink, M.D.
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Phone: 303-776-9797    Fax: 303-776-7693
Dr. Robert George Ruegg Jr., MD
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Dr. Haven Howell, M.D.
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Dr. Aaron Gavin Meng, M.D.
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Dr. Alendia Hartshorn, MD
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Phone: 303-776-5298    
Dr. Pierre V Pavot, DO
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Medicare: Accepting Medicare Assignments
Practice Location: 2030 Mountain View Ave, Suite 300, Longmont, CO 80501
Phone: 303-485-3535    Fax: 303-485-3536
Dr. Grant Michael Warmouth, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1511 Onyx Cir, Longmont, CO 80504
Phone: 303-776-5298    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.