| Carlos Humberto Corral, MD | |
|
11700 W 2nd Pl Ste 280, Lakewood, CO 80228-1717 | |
| (720) 321-8680 | |
| (720) 321-8681 |
| Full Name | Carlos Humberto Corral |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 44 Years |
| Location | 11700 W 2nd Pl Ste 280, Lakewood, 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 |
|---|---|---|---|
| 1245212539 | NPI | - | NPPES |
| 000X3247 | Other | NM | SALUD PROGRAMS MEDICAID |
| 330003968 | Other | RAILROAD MEDICARE | |
| 122858703 | Medicaid | TX | |
| 900522525 | Other | NM | MEDICARE GROUP |
| Facility Name | Location | Facility Type |
|---|---|---|
| Presbyterian Hospital | Albuquerque, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Las Cruces Physician Practices, Llc | 7618974858 | 81 |
| Presbyterian Healthcare Services | 9234041708 | 1179 |
| Medhealth | 9931001567 | 373 |
| Entity Name | Presbyterian Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
| Entity Name | Las Cruces Physician Practices, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093947491 PECOS PAC ID: 7618974858 Enrollment ID: O20061031000215 |
| Entity Name | Las Cruces Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215079678 PECOS PAC ID: 8224122759 Enrollment ID: O20070914000414 |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos Humberto Corral, MD 11700 W 2nd Pl Ste 280, Lakewood, CO 80228-1717 Ph: (720) 321-8680 | Carlos Humberto Corral, MD 11700 W 2nd Pl Ste 280, Lakewood, CO 80228-1717 Ph: (720) 321-8680 |
Dr. Patrick Donohue Rudersdorf, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 11700 W 2nd Pl, Suite 280, Lakewood, CO 80228 Phone: 720-321-8680 Fax: 720-321-8681 | |
Dr. Daniel Gross, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 11700 W 2nd Pl, Mob 2 Ste 210, Lakewood, CO 80228 Phone: 720-321-8080 |