| Mws Wound Solutions LLC | |
|
595 Chapel Hills Dr Ste 303b Colorado Springs CO 80920-1022 | |
| (719) 922-1002 | |
| (719) 888-1841 |
| Full Name | Mws Wound Solutions LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 595 Chapel Hills Dr Ste 303b, Colorado Springs, Colorado |
| Authorized Official Name and Position | Bryan N Wogen (DIRECTOR OF BUSINESS OPERATIONS) |
| Authorized Official Contact | 7199221002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mws Wound Solutions LLC 595 Chapel Hills Dr Ste 303b Colorado Springs CO 80920-1022 Ph: (719) 922-1002 | Mws Wound Solutions LLC 595 Chapel Hills Dr Ste 303b Colorado Springs CO 80920-1022 Ph: (719) 922-1002 |
| NPI Number | 1184482952 |
|---|---|
| Provider Enumeration Date | 03/07/2024 |
| Last Update Date | 12/01/2025 |
| Certification Date | 12/01/2025 |
| Medicare PECOS PAC ID | 2567801541 |
|---|---|
| Medicare Enrollment ID | O20240424000556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184482952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Bryan Nicholas Wogen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588061725 PECOS PAC ID: 4284950403 Enrollment ID: I20150306000839 |
| Provider Name | Mallory B Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073154787 PECOS PAC ID: 9830518281 Enrollment ID: I20210322002500 |
| Provider Name | Rebecca Rae Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417532557 PECOS PAC ID: 7719396605 Enrollment ID: I20210505001360 |
| Provider Name | Kelsey Renee Ewing |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407404783 PECOS PAC ID: 0749677110 Enrollment ID: I20220504000308 |
| Provider Name | Doraelia Quiroz Balderas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184445405 PECOS PAC ID: 1658559521 Enrollment ID: I20250529002245 |
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