Dr Tucker Edward Dangremond, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Colorado Springs, Colorado. His current practice location is
2770 N Union Blvd Ste 240, Colorado Springs, Colorado. You can reach out to his office (for appointments etc.) via phone at
(719) 471-2020.
Dr Tucker Edward Dangremond is licensed to practice in Texas (license number BP10075595) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235703067.
Physician's Profile
Full Name | Dr Tucker Edward Dangremond |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2770 N Union Blvd Ste 240, Colorado Springs, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235703067
- Provider Enumeration Date: 05/17/2021
- Last Update Date: 07/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 7517368251
- Enrollment ID: I20210701001163
Medical Identifiers
Medical identifiers for Dr Tucker Edward Dangremond such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235703067 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | 0074801 (Colorado) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | BP10075595 (Texas) | Primary |
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 Tucker Edward Dangremond 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 Tucker Edward Dangremond, MD 2770 N Union Blvd Ste 240, Colorado Springs, CO 80909-1193 Ph: (719) 471-2020 | Dr Tucker Edward Dangremond, MD 2770 N Union Blvd Ste 240, Colorado Springs, CO 80909-1193 Ph: (719) 471-2020 |
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