Dr Andrew Cordova, in Evergreen, CO - Medicare Physical Therapist Provider

Dr Andrew Cordova, is a medicare enrolled "Physical Therapist" provider in Evergreen, Colorado. His current practice location is 30940 Stagecoach Blvd # 110, Evergreen, Colorado. You can reach out to his office (for appointments etc.) via phone at (860) 830-3715.

Dr Andrew Cordova is licensed to practice in Connecticut (license number 14255) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1740012111.

Contact Information

	Dr Andrew Cordova,
	30940 Stagecoach Blvd # 110, Evergreen, CO 80439-7984
	(860) 830-3715
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Andrew Cordova
Gender	Male
Speciality	Physical Therapist
Location	30940 Stagecoach Blvd # 110, Evergreen, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740012111
Provider Enumeration Date: 08/15/2024
Last Update Date: 03/31/2025

Medicare PECOS Information:

PECOS PAC ID: 1153849278
Enrollment ID: I20250513001469

Medical Identifiers

Medical identifiers for Dr Andrew Cordova such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740012111	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	13664 (Minnesota)	Secondary
225100000X	Physical Therapist	12183 (South Carolina)	Secondary
225100000X	Physical Therapist	19784 (Colorado)	Secondary
225100000X	Physical Therapist	14255 (Connecticut)	Primary

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 Andrew Cordova allows following entities to bill medicare on his behalf.

Provider Name	Select Physical Therapy Of West Denver Limited Partnership
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1346896081 PECOS PAC ID: 6709771157 Enrollment ID: O20191022001159

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 Andrew Cordova 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
Dr Andrew Cordova, 111 Carkoski Cmns, Mankato, MN 56001-6031 Ph: () -	Dr Andrew Cordova, 30940 Stagecoach Blvd # 110, Evergreen, CO 80439-7984 Ph: (860) 830-3715

Reviews and Comments

Physical Therapist in Evergreen, CO

Tfl Provider Network Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2932 Evergreen Pkwy, Evergreen, CO 80439 Phone: 303-800-2829 Fax: 720-408-0320
Karen Cusack, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2817 Keystone Dr, Evergreen, CO 80439 Phone: 720-341-4333
Stuart Citrin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30670 Sun Creek Dr, Evergreen, CO 80439 Phone: 303-674-9446
Weslee David Thompson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1262 Bergen Pkwy Unit E10, Evergreen, CO 80439 Phone: 303-674-7889 Fax: 303-674-8117
Ms. Carrie Diflumeri, M.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 7027 Skunk Aly, Evergreen, CO 80439 Phone: 303-518-0439
Jeannine Beebe Rauch, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 30940 Stagecoach Blvd, Suite E-110, Evergreen, CO 80439 Phone: 303-674-1594
Ms. Elizabeth Passavent Kaufmann, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 28934 Western Dr, Evergreen, CO 80439 Phone: 303-679-2550

Dr Andrew Cordova, - Medicare Physical Therapist in Evergreen, CO