| Dr Dustin R Ridout, MD | |
|
10350 E Dakota Ave, Denver, CO 80247-1314 | |
| (303) 338-4545 | |
| Not Available |
| Full Name | Dr Dustin R Ridout |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 30 Years |
| Location | 10350 E Dakota Ave, Denver, 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 |
|---|---|---|---|
| 1053448084 | NPI | - | NPPES |
| 32706537 | Medicaid | CO | |
| 012703 | Other | KAISER-COMMERCIAL NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 39345 (Colorado) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pro Health One Inc | 2466778089 | 18 |
| Entity Name | Colorado Permanente Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640 |
| Entity Name | Pro Health One Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053714584 PECOS PAC ID: 2466778089 Enrollment ID: O20171120000890 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dustin R Ridout, MD 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: () - | Dr Dustin R Ridout, MD 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: (303) 338-4545 |
Dr. John William Tillett, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 850 E Harvard Ave Ste 305, Denver, CO 80210 Phone: 303-825-8822 Fax: 303-825-4022 | |
Milford Ray Painter Jr., Urology Medicare: Not Enrolled in Medicare Practice Location: 2635 Walnut St, Denver, CO 80205 Phone: 877-320-1692 | |
Dr. Michael E Chen, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 10350 E Dakota Ave, Denver, CO 80247 Phone: 303-338-4545 | |
Dr. John Landiss Logan, MD Urology Medicare: Medicare Enrolled Practice Location: 2005 E 18th Ave, Denver, CO 80206 Phone: 303-321-4212 Fax: 303-388-2459 | |
Dr. Benjamin Carpenter, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2777 Mile High Stadium Cir, Denver, CO 80211 Phone: 303-825-8822 Fax: 303-825-4022 | |
Kyle Walker Szymanski, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 777 Bannock St, Denver, CO 80204 Phone: 303-602-7600 Fax: 303-602-7601 |