Dr Matthew David Pouliot, DO - Medicare Physical Medicine And Rehabilitation in Fort Collins, CO

Dr Matthew David Pouliot, DO is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Fort Collins, Colorado. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Poudre Valley Medical Group Llc, Poudre Valley Medical Group Llc and his current practice location is 3744 S Timberline Rd, Suite 102, Fort Collins, Colorado. You can reach out to his office (for appointments etc.) via phone at (970) 495-0506.

Dr Matthew David Pouliot is licensed to practice in Colorado (license number DR.0048088) 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 1154584266.

Contact Information

Dr Matthew David Pouliot, DO
3744 S Timberline Rd, Suite 102,
Fort Collins, CO 80525-4333
(970) 495-0506
(970) 495-0485



Physician's Profile

Full NameDr Matthew David Pouliot
GenderMale
SpecialityPhysical Medicine And Rehabilitation
Experience20 Years
Location3744 S Timberline Rd, Fort Collins, 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 Matthew David Pouliot graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1154584266
  • Provider Enumeration Date: 07/08/2008
  • Last Update Date: 08/26/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4486684164
  • Enrollment ID: I20100106000501

Medical Identifiers

Medical identifiers for Dr Matthew David Pouliot such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154584266NPI-NPPES
132413600MedicaidWY
10026360700MedicaidNE
53107578MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208VP0000XPain Medicine - Pain Medicine DR.0048088 (Colorado)Primary
2081P2900XPhysical Medicine & Rehabilitation - Pain Medicine 48088 (Colorado)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Poudre Valley HospitalFort collins, COHospital
Uchealth Greeley HospitalGreeley, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Poudre Valley Medical Group Llc96382085491605
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 Matthew David Pouliot allows following entities to bill medicare on his behalf.
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 Matthew David Pouliot 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 Matthew David Pouliot, DO
3744 S Timberline Rd, Suite 102,
Fort Collins, CO 80525-4333

Ph: (970) 495-0506
Dr Matthew David Pouliot, DO
3744 S Timberline Rd, Suite 102,
Fort Collins, CO 80525-4333

Ph: (970) 495-0506

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Pain Medicine Doctors in Fort Collins, CO

Ricardo A Nieves, MD
Pain Medicine
Medicare: Medicare Enrolled
Practice Location: 1437 Riverside Ave, Fort Collins, CO 80524
Phone: 970-692-5550    Fax: 970-692-5561
Dr. Orrie G Clemens, MD
Pain Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2001 S Shields St, Bldg L, Fort Collins, CO 80526
Phone: 970-221-0565    Fax: 970-221-0575
Dr. George Edward Girardi, M.D.
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3744 S. Timberline Rd, Suite 102, Fort Collins, CO 80525
Phone: 970-495-0506    Fax: 970-495-0485
Dr. James Alan Derrisaw, M.D.
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1236 E Elizabeth St, Suite 1, Fort Collins, CO 80524
Phone: 970-224-2985    Fax: 970-472-9381

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