| Mr Jorge Luis Lopez, PA | |
|
1650 Cochrane Cir, Attn Credentials Office, Fort Carson, CO 80913-4603 | |
| (719) 526-7844 | |
| (719) 526-7984 |
| Full Name | Mr Jorge Luis Lopez |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| 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 |
|---|---|---|---|
| 1104952209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jorge Luis Lopez, PA Evans Army Community Hospital (each) Usa Meddac, 1650 Cochrane Circle, Attn Credentials Office, Colorado Spings, CO 80913-4604 Ph: (719) 526-7844 | Mr Jorge Luis Lopez, PA 1650 Cochrane Cir, Attn Credentials Office, Fort Carson, CO 80913-4603 Ph: (719) 526-7844 |
Jeremy Kenneth Betters, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 906-368-0711 | |
Austin Wildermuth, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir Unit Meddac, Fort Carson, CO 80913 Phone: 804-387-8940 | |
Brittney Robin Conrad, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Evans Army Community Hospital, 1650 Cochrane Cir B7500, Fort Carson, CO 80913 Phone: 707-638-5809 | |
Daniel Matthes, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 805-712-2873 | |
Daniel Douglas, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Evans Army Community Hospital, 650 Cochrane Circle, Fort Carson, CO 80913 Phone: 719-526-2361 | |
Derek Silver, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3524 Airfield Rd, Fort Carson, CO 80913 Phone: 719-526-1910 | |
Megan Anne Benedict, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1650 Cochrane Cir Unit Meddac, Fort Carson, CO 80913 Phone: 917-526-7000 |