| Dr Chad A Derosa, MD | |
|
1650 Cochrane Cir, Urology Service, Evans Army Community Hospital, Fort Carson, CO 80913-4613 | |
| (719) 526-7115 | |
| Not Available |
| Full Name | Dr Chad A Derosa |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 22 Years |
| Location | 1650 Cochrane Cir, Fort Carson, 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 |
|---|---|---|---|
| 1740471275 | NPI | - | NPPES |
| 028857 | Other | CO | KAISER COMMERCIAL NUMBER |
| 55980767 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 01061241A (Indiana) | Secondary |
| 208800000X | Urology | DR.0052374 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Longs Peak Hospital | Longmont, CO | Hospital |
| Uchealth Broomfield Hospital | Broomfield, CO | Hospital |
| University Of Colorado Hospital Authority | Aurora, CO | Hospital |
| Medical Center Of The Rockies | Loveland, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Poudre Valley Medical Group Llc | 9638208549 | 1992 |
| Entity Name | Valley View Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437271285 PECOS PAC ID: 1850294778 Enrollment ID: O20040129000027 |
| Entity Name | Rocky Mountain Lithotripter Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134202435 PECOS PAC ID: 5395737985 Enrollment ID: O20040401001756 |
| Entity Name | Salida Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972778272 PECOS PAC ID: 3577451152 Enrollment ID: O20040413000292 |
| Entity Name | Salida Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1730258971 PECOS PAC ID: 3577451152 Enrollment ID: O20081209000720 |
| Entity Name | Poudre Valley Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Chad A Derosa, MD 1650 Cochrane Cir, Urology Service, Fort Carson, CO 80913-4613 Ph: (719) 526-7115 | Dr Chad A Derosa, MD 1650 Cochrane Cir, Urology Service, Evans Army Community Hospital, Fort Carson, CO 80913-4613 Ph: (719) 526-7115 |
Dr. Marc Robert Walker, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1650 Cochrane Cir # B7500, Fort Carson, CO 80913 Phone: 719-526-7115 Fax: 719-526-7377 | |
John Quincy Schisler Iii, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1650 Cochrane Cir # B7500, Fort Carson, CO 80913 Phone: 719-529-7000 |