| Dr Jason R Wild, MD | |
|
175 S Union Blvd Ste 125, Colorado Springs, CO 80910-3117 | |
| (719) 365-1950 | |
| (719) 365-1951 |
| Full Name | Dr Jason R Wild |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 21 Years |
| Location | 175 S Union Blvd Ste 125, Colorado Springs, 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 |
|---|---|---|---|
| 1912107764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 38028 (Arizona) | Secondary |
| 207X00000X | Orthopaedic Surgery | DR.0062822 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uch-memorial Health System | Colorado springs, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Poudre Valley Medical Group Llc | 9638208549 | 1992 |
| 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 Jason R Wild, MD 2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071 Ph: (719) 365-1950 | Dr Jason R Wild, MD 175 S Union Blvd Ste 125, Colorado Springs, CO 80910-3117 Ph: (719) 365-1950 |
Dr. Peter Daniel Fredericks, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 175 S Union Blvd Ste 300, Colorado Springs, CO 80910 Phone: 719-365-1950 Fax: 719-365-1951 | |
Alexander Constantine Aretakis, MD Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 4125 Briargate Pkwy, Colorado Springs, CO 80920 Phone: 719-305-9060 | |
Dr. Paul B Rahill, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2925 Professional Pl, Ste 110, Colorado Springs, CO 80904 Phone: 719-445-0344 Fax: 719-445-0357 | |
David A Labosky, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4110 Briargate Pkwy, 300, Colorado Springs, CO 80920 Phone: 719-632-7669 Fax: 719-632-0088 | |
John Carlton Redfern, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4110 Briargate Pkwy, Suite 300, Colorado Springs, CO 80920 Phone: 719-632-7669 Fax: 719-632-0088 | |
Augusta W Kluk, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5818 N Nevada Avenue, Suite 110, Colorado Springs, CO 80918 Phone: 719-365-1950 Fax: 719-365-1951 | |
Wiley J. Jinkins Iii, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2020 N Academy Blvd, Suite 155, Colorado Springs, CO 80909 Phone: 719-219-0914 Fax: 719-219-0916 |