David M Squicquero, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Windsor, Colorado. His current practice location is
5133 Shavano Ct, Windsor, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 674-1201.
David M Squicquero is licensed to practice in Colorado (license number 40862) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417969684.
Physician's Profile
| Full Name | David M Squicquero |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 5133 Shavano Ct, Windsor, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417969684
- Provider Enumeration Date: 08/13/2006
- Last Update Date: 10/31/2013
Medicare PECOS Information:
- PECOS PAC ID: 3274525738
- Enrollment ID: I20050223000326
Medical Identifiers
Medical identifiers for David M Squicquero such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417969684 | NPI | - | NPPES |
| 83176713 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0202X | Radiology - Diagnostic Radiology | 40862 (Colorado) | Primary |
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. David M Squicquero allows following entities to bill medicare on his behalf.
| Entity Name | Colorado Springs Radiologists Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629168406 PECOS PAC ID: 6901890094 Enrollment ID: O20040412001373 |
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| Entity Name | Penrad Imaging Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003906868 PECOS PAC ID: 1850387598 Enrollment ID: O20040420001609 |
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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. David M Squicquero 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 |
David M Squicquero, MD 5133 Shavano Ct, Windsor, CO 80550-2583 Ph: (970) 674-1201 | David M Squicquero, MD 5133 Shavano Ct, Windsor, CO 80550-2583 Ph: (970) 674-1201 |
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