Dr Ananya Guha Lusero, MD - Medicare Pediatrics in Canon City, CO

Dr Ananya Guha Lusero, MD is a medicare enrolled "Pediatrics" physician in Canon City, Colorado. Her current practice location is 1335 Phay Ave, Suite A, Canon City, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 285-2091.

Dr Ananya Guha Lusero is licensed to practice in Colorado (license number DR.0054382) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699972992.

Contact Information

Dr Ananya Guha Lusero, MD
1335 Phay Ave, Suite A,
Canon City, CO 81212-2334
(719) 285-2091
(719) 285-2092



Physician's Profile

Full NameDr Ananya Guha Lusero
GenderFemale
SpecialityPediatrics
Location1335 Phay Ave, Canon City, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699972992
  • Provider Enumeration Date: 06/29/2007
  • Last Update Date: 12/30/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2668509167
  • Enrollment ID: I20150302001603

Medical Identifiers

Medical identifiers for Dr Ananya Guha Lusero such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699972992NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics RS20070322 (New Mexico)Secondary
208000000XPediatrics DR.0054382 (Colorado)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 Ananya Guha Lusero allows following entities to bill medicare on her behalf.
Entity NameCatholic Health Initiatives Colorado
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356783351
PECOS PAC ID: 8022927342
Enrollment ID: O20031215000462

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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 Ananya Guha Lusero 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 AddressPractice Location Address
Dr Ananya Guha Lusero, MD
1335 Phay Ave, Suite A,
Canon City, CO 81212-2334

Ph: (719) 285-2091
Dr Ananya Guha Lusero, MD
1335 Phay Ave, Suite A,
Canon City, CO 81212-2334

Ph: (719) 285-2091

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Pediatrics Doctors in Canon City, CO

Ms. Rebecca K. Romano, LPC, NCC
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 402 Valley Rd Ste I, Canon City, CO 81212
Phone: 719-371-2767    
Dr. Elizabeth S Wilson, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 614 Yale Pl, Canon City, CO 81212
Phone: 719-285-2700    Fax: 719-285-2975
Dr. Ambrose Soler, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1338 Phay Ave, Bldg D Peds, Canon City, CO 81212
Phone: 719-285-2091    Fax: 719-285-2092
Dr. Rita M Estep, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1335 Phay St. Medical, Canon City, CO 81212
Phone: 719-275-2301    Fax: 719-275-7048

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