Mr Lee Michael Fonseca, NP-C in Pueblo, CO - Medicare Nurse Practitioner

Mr Lee Michael Fonseca, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Pueblo, Colorado. He graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Scl Health Medical Group - Denver Llc, Catholic Health Initiatives Colorado and his current practice location is 4112 Outlook Blvd, Suite 37, Pueblo, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 562-6254.

Mr Lee Michael Fonseca is licensed to practice in Colorado (license number 105831) 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 1831258367.

Contact Information

	Mr Lee Michael Fonseca, NP-C
	4112 Outlook Blvd, Suite 37, Pueblo, CO 81008-1667
	(719) 562-6254
	(719) 562-6255

Map and Direction

Provider's Profile

Full Name	Mr Lee Michael Fonseca
Gender	Male
Speciality	Nurse Practitioner
Experience	21 Years
Location	4112 Outlook Blvd, Pueblo, 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.

Medical Education and Training:

Mr Lee Michael Fonseca graduated from nursing school in 2003

NPI Data:

NPI Number: 1831258367
Provider Enumeration Date: 12/08/2006
Last Update Date: 10/10/2023

Medicare PECOS Information:

PECOS PAC ID: 8527015908
Enrollment ID: I20050407000520

Medical Identifiers

Medical identifiers for Mr Lee Michael Fonseca such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831258367	NPI	-	NPPES
92354378	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	105831 (Colorado)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Platte Valley Medical Center	Brighton, CO	Hospital
Good Samaritan Medical Center Llc	Lafayette, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Scl Health Medical Group - Denver Llc	0840513552	414
Catholic Health Initiatives Colorado	8022927342	998

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. Mr Lee Michael Fonseca allows following entities to bill medicare on his behalf.

Entity Name	Catholic Health Initiatives Colorado
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462

Entity Name	Parkview Ancillary Services Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982878765 PECOS PAC ID: 4385722511 Enrollment ID: O20080429000248

Entity Name	Scl Health Medical Group - Denver Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083021083 PECOS PAC ID: 0840513552 Enrollment ID: O20150106000131

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. Mr Lee Michael Fonseca 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
Mr Lee Michael Fonseca, NP-C 4112 Outlook Blvd, Suite 37, Pueblo, CO 81008-1667 Ph: (719) 562-6254	Mr Lee Michael Fonseca, NP-C 4112 Outlook Blvd, Suite 37, Pueblo, CO 81008-1667 Ph: (719) 562-6254

Reviews and Comments

Nurse Practitioner Nurses in Pueblo, CO

Paula Jiron-finn, ACNP/FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 E Riverwalk Unit 200, Pueblo, CO 81003 Phone: 719-543-8346 Fax: 719-545-1829
Brian C White, APRN, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 226 1/2 S Union Ave Unit 205, Pueblo, CO 81003 Phone: 719-225-0637
Monica A Flynn, APRN-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41 Montebello Rd, Pueblo, CO 81001 Phone: 719-545-2746 Fax: 719-584-0110
Coral Breanne Martinez, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 N Grand Ave Ste 150, Pueblo, CO 81003 Phone: 719-595-7680
Lynne M Evetts, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Colorado Ave, Pueblo, CO 81004 Phone: 719-543-8711 Fax: 719-543-5340
Phebe Golden, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3670 Parker Blvd Ste 101, Pueblo, CO 81008 Phone: 719-562-2900
Havilah R. Spurlock, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3676 Parker Blvd, Pueblo, CO 81008 Phone: 719-553-2200

Mr Lee Michael Fonseca, NP-C - Medicare Nurse Practitioner in Pueblo, CO