| Dr Mark D Gaughan, MD | |
|
523b South Camino Del Rio, Durango, CO 81303-6853 | |
| (970) 247-2970 | |
| (970) 259-1668 |
| Full Name | Dr Mark D Gaughan |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 28 Years |
| Location | 523b South Camino Del Rio, Durango, 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 |
|---|---|---|---|
| 1790792851 | NPI | - | NPPES |
| 06977529 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 37711 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Regional Medical Center | Durango, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Durango Dermatology And Dermatologic Surgery Llc | 1153375902 | 7 |
| Entity Name | Durango Dermatology And Dermatologic Surgery Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497811160 PECOS PAC ID: 1153375902 Enrollment ID: O20050304000492 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark D Gaughan, MD 523 S Camino Del Rio Ste B, Durango, CO 81303-6853 Ph: (970) 247-1970 | Dr Mark D Gaughan, MD 523b South Camino Del Rio, Durango, CO 81303-6853 Ph: (970) 247-2970 |
Dr. Geoffrey Strider Farnsworth, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 523 S Camino Del Rio Ste B, Durango, CO 81303 Phone: 970-247-1970 Fax: 970-259-1668 | |
Lawrence J Gaughan, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 523b South Camino Del Rio, Durango, CO 81303 Phone: 970-247-1970 Fax: 970-259-1668 | |
Dr. Carmen Julian, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 523 S Camino Del Rio, Ste B, Durango, CO 81303 Phone: 970-247-1970 Fax: 970-259-1668 | |
Susan F Sanders, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3649 Main Ave, Durango, CO 81301 Phone: 970-375-1707 Fax: 970-382-9518 | |
Dr. Lindsey West, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 523 S Camino Del Rio Ste B, Durango, CO 81303 Phone: 970-247-1970 Fax: 970-259-1668 | |
Sidney Hoskins Buzaid, MD Dermatology Medicare: Medicare Enrolled Practice Location: 65 Mercado St Ste 205, Durango, CO 81301 Phone: 970-315-1743 |