Dr Mallikarjuna Nallegowda, MD, DNB, MNAMS is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Pueblo, Colorado. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Southern Colorado Clinic Pc and his current practice location is
3676 Parker Blvd Ste 230, Pueblo, Colorado. You can reach out to his office (for appointments etc.) via phone at
(719) 553-2200.
Dr Mallikarjuna Nallegowda is licensed to practice in Colorado (license number 52039) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770733743.
Physician's Profile
Full Name | Dr Mallikarjuna Nallegowda |
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Gender | Male |
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Speciality | Pain Management |
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Experience | 22 Years |
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Location | 3676 Parker Blvd Ste 230, Pueblo, Colorado |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Mallikarjuna Nallegowda graduated from medical school in 2002
NPI Data:
- NPI Number: 1770733743
- Provider Enumeration Date: 09/25/2008
- Last Update Date: 03/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 9436391539
- Enrollment ID: I20130819000660
Medical Identifiers
Medical identifiers for Dr Mallikarjuna Nallegowda such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770733743 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208VP0000X | Pain Medicine - Pain Medicine | 52039 (Colorado) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Southern Colorado Clinic Pc | 4284524067 | 34 |
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. Dr Mallikarjuna Nallegowda allows following entities to bill medicare on his behalf.
Entity Name | Catholic Health Initiatives Colorado |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
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Entity Name | Southern Colorado Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285613554 PECOS PAC ID: 4284524067 Enrollment ID: O20040316001277 |
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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. Dr Mallikarjuna Nallegowda 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 |
Dr Mallikarjuna Nallegowda, MD, DNB, MNAMS Po Box 9000, Pueblo, CO 81008-9000 Ph: (719) 557-3666 | Dr Mallikarjuna Nallegowda, MD, DNB, MNAMS 3676 Parker Blvd Ste 230, Pueblo, CO 81008-2213 Ph: (719) 553-2200 |
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