| Michael Paolucci, MD | |
|
3330 S Rio Grande Ave, Montrose, CO 81401-4847 | |
| (970) 497-5979 | |
| (970) 497-5983 |
| Full Name | Michael Paolucci |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 35 Years |
| Location | 3330 S Rio Grande Ave, Montrose, 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 |
|---|---|---|---|
| 1639179500 | NPI | - | NPPES |
| 116905403 | Medicaid | TX | |
| 129152001 | Medicaid | AR | |
| 9000194830 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | J2249 (Texas) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | DR.0066635 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Montrose Memorial Hospital | Montrose, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Montrose Memorial Hospital, Inc | 1658272992 | 112 |
| Peak Gastroenterology Associates | 2961484365 | 33 |
| Entity Name | Montrose Memorial Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528083771 PECOS PAC ID: 1658272992 Enrollment ID: O20040119000579 |
| Entity Name | Peak Gastroenterology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023112117 PECOS PAC ID: 2961484365 Enrollment ID: O20040601000848 |
| 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 |
|---|---|
| Michael Paolucci, MD 2920 N Cascade Ave Ste 301, Colorado Springs, CO 80907-6265 Ph: (719) 636-1201 | Michael Paolucci, MD 3330 S Rio Grande Ave, Montrose, CO 81401-4847 Ph: (970) 497-5979 |
John Joseph Frank, M.D Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 300 S Nevada Ave, Montrose, CO 81401 Phone: 970-252-1020 Fax: 970-252-1041 | |
Dr. Danny Claude Williams, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 630 E Star Ct, Montrose, CO 81401 Phone: 970-497-7700 Fax: 855-855-4482 | |
Dr. Brady James Holdaway, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 800 S 3rd St, Montrose, CO 81401 Phone: 970-249-7751 | |
Dr. Virginia M Tjan, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 600 S 5th St, Montrose, CO 81401 Phone: 970-497-8001 Fax: 970-240-7793 | |
Kenneth Wayne Harris, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 300 S Nevada Ave, Montrose, CO 81401 Phone: 970-249-7751 Fax: 970-249-5029 | |
Charles Everett Wilkins, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 630 E Star Ct, Montrose, CO 81401 Phone: 970-252-1020 Fax: 970-252-1041 | |
Lee David Ettinger, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 904 S 4th St, Montrose, CO 81401 Phone: 970-252-2753 Fax: 970-240-7330 |