| Ryan Bucknam, MD | |
| 1650 Cochrane Cir, Fort Carson, CO 80913-4613 | |
| (719) 526-2273 | |
| Not Available | 
| Full Name | Ryan Bucknam | 
|---|---|
| Gender | Male | 
| Speciality | Orthopaedic Surgery | 
| Location | 1650 Cochrane Cir, Fort Carson, Colorado | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1518311414 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 30755 (Nebraska) | Secondary | 
| 207X00000X | Orthopaedic Surgery | 94486 (Georgia) | Primary | 
| Entity Name | Phoebe Physician Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 | 
| Entity Name | Wellstar Medical Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ryan Bucknam, MD 1650 Cochrane Cir, Fort Carson, CO 80913-4613 Ph: () - | Ryan Bucknam, MD 1650 Cochrane Cir, Fort Carson, CO 80913-4613 Ph: (719) 526-2273 | 
| Daniel J Song, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1650 Cochrane Cir Unit Meddac, Fort Carson, CO 80913 Phone: 719-526-7440 | |
| Dr. Chad Allen Haley, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1650 Cochrane Circle, Evans Army Community Hospital, Fort Carson, CO 80913 Phone: 719-526-7176 | |
| Emily Mcdermott, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 210-916-1284 | |
| Jacob Arthur, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1650 Cochrane Cir Rm 3100, Fort Carson, CO 80913 Phone: 719-526-7440 |