Dr Richard L Converse Jr, MD - Medicare Cardiovascular Disease (cardiology) in Durango, CO

Dr Richard L Converse Jr, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Durango, Colorado. He went to Johns Hopkins University School Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Catholic Health Initiatives Colorado and his current practice location is 1 Mercado St Ste 130, Durango, Colorado. You can reach out to his office (for appointments etc.) via phone at (970) 247-1120.

Dr Richard L Converse Jr is licensed to practice in Colorado (license number DR.0069901) 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 1013001486.

Contact Information

Dr Richard L Converse Jr, MD
1 Mercado St Ste 130,
Durango, CO 81301-7306
(970) 247-1120
(970) 247-1128

Map and Direction




Physician's Profile

Full NameDr Richard L Converse Jr
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience37 Years
Location1 Mercado St Ste 130, Durango, Colorado
Accepts Medicare AssignmentsYes. 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 Richard L Converse Jr attended and graduated from Johns Hopkins University School Of Medicine in 1987
  NPI Data:
  • NPI Number: 1013001486
  • Provider Enumeration Date: 10/03/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4880582006
  • Enrollment ID: I20230118003072

Medical Identifiers

Medical identifiers for Dr Richard L Converse Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013001486NPI-NPPES
9000212517MedicaidCO
02651858MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 20030692 (New Mexico)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease DR.0069901 (Colorado)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Regional Medical CenterDurango, COHospital
Southwest Memorial HospitalCortez, COHospital
Pagosa Springs Medical CenterPagosa springs, COHospital
San Juan Regional Medical CenterFarmington, NMHospital
Centura Health-penrose St Francis Health ServicesColorado springs, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Catholic Health Initiatives Colorado8022927342974

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 Richard L Converse Jr allows following entities to bill medicare on his behalf.
Entity NameCatholic Health Initiatives Colorado
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356783351
PECOS PAC ID: 8022927342
Enrollment ID: O20031215000462

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 Richard L Converse Jr 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 AddressPractice Location Address
Dr Richard L Converse Jr, MD
1 Mercado St Ste 130,
Durango, CO 81301-7306

Ph: (970) 247-1120
Dr Richard L Converse Jr, MD
1 Mercado St Ste 130,
Durango, CO 81301-7306

Ph: (970) 247-1120

Reviews and Comments


Internal Medicine Doctors in Durango, CO

Richard A Brown, MD
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Phone: 970-764-2750    Fax: 970-764-2778
Mr. Stuart Saslow, M.D.
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Dr. Erin Gray Clarkinson, DO
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Lyla Saeed,
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Medicare: Medicare Enrolled
Practice Location: 1010 Three Springs Blvd Ste 270, Durango, CO 81301
Phone: 970-764-3800    Fax: 970-764-3840
Dr. Eugenia M Miller, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1 Mercado Street, Suite 130, Durango, CO 81301
Phone: 970-247-1120    Fax: 970-247-3664
Sarah E. Brown, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1010 Three Springs Blvd, Durango, CO 81301
Phone: 970-764-3352    Fax: 970-764-3375

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.