Dr Chad A Derosa, MD - Medicare Urology in Fort Carson, CO

Dr Chad A Derosa, MD is a medicare enrolled "Urology" physician in Fort Carson, Colorado. He went to Temple University School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Urology. He is a member of the group practice Poudre Valley Medical Group Llc and his current practice location is 1650 Cochrane Cir, Urology Service, Evans Army Community Hospital, Fort Carson, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 526-7115.

Dr Chad A Derosa is licensed to practice in Colorado (license number DR.0052374) 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 1740471275.

Contact Information

Dr Chad A Derosa, MD
1650 Cochrane Cir, Urology Service, Evans Army Community Hospital,
Fort Carson, CO 80913-4613
(719) 526-7115
Not Available



Physician's Profile

Full NameDr Chad A Derosa
GenderMale
SpecialityUrology
Experience21 Years
Location1650 Cochrane Cir, Fort Carson, Colorado
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Chad A Derosa attended and graduated from Temple University School Of Medicine in 2003
  NPI Data:
  • NPI Number: 1740471275
  • Provider Enumeration Date: 08/08/2007
  • Last Update Date: 06/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3779749668
  • Enrollment ID: I20150708001753

Medical Identifiers

Medical identifiers for Dr Chad A Derosa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740471275NPI-NPPES
028857OtherCOKAISER COMMERCIAL NUMBER
55980767MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 01061241A (Indiana)Secondary
208800000XUrology DR.0052374 (Colorado)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Longs Peak HospitalLongmont, COHospital
Uchealth Broomfield HospitalBroomfield, COHospital
Medical Center Of The RockiesLoveland, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Poudre Valley Medical Group Llc96382085491605

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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 Chad A Derosa allows following entities to bill medicare on his behalf.
Entity NameValley View Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730897109
PECOS PAC ID: 1850294778
Enrollment ID: O20040129000027

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Entity NameRocky Mountain Lithotripter Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134202435
PECOS PAC ID: 5395737985
Enrollment ID: O20040401001756

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Entity NameSalida Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972778272
PECOS PAC ID: 3577451152
Enrollment ID: O20040413000292

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Entity NameSalida Hospital District
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1730258971
PECOS PAC ID: 3577451152
Enrollment ID: O20081209000720

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Entity NamePoudre Valley Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366763260
PECOS PAC ID: 9638208549
Enrollment ID: O20100602000122

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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 Chad A Derosa 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 Chad A Derosa, MD
1650 Cochrane Cir, Urology Service,
Fort Carson, CO 80913-4613

Ph: (719) 526-7115
Dr Chad A Derosa, MD
1650 Cochrane Cir, Urology Service, Evans Army Community Hospital,
Fort Carson, CO 80913-4613

Ph: (719) 526-7115

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Urology Doctors in Fort Carson, CO

Dr. Marc Robert Walker, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1650 Cochrane Cir # B7500, Fort Carson, CO 80913
Phone: 719-526-7115    Fax: 719-526-7377
John Quincy Schisler Iii, M.D.
Urology
Medicare: Medicare Enrolled
Practice Location: 1650 Cochrane Cir # B7500, Fort Carson, CO 80913
Phone: 719-529-7000    

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