Krystal J Holderness Nakamura, MD - Medicare Dermatology in Pueblo, CO

Krystal J Holderness Nakamura, MD is a medicare enrolled "Dermatology" physician in Pueblo, Colorado. She went to Tulane University School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Skin Cancer And Dermatology Center Of Colorado Springs, P.c. and her current practice location is 2001 Lake Ave, Pueblo, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 564-5544.

Krystal J Holderness Nakamura is licensed to practice in Colorado (license number 44146) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669442422.

Contact Information

Krystal J Holderness Nakamura, MD
2001 Lake Ave,
Pueblo, CO 81004-3538
(719) 564-5544
Not Available



Physician's Profile

Full NameKrystal J Holderness Nakamura
GenderFemale
SpecialityDermatology
Experience22 Years
Location2001 Lake Ave, Pueblo, Colorado
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Krystal J Holderness Nakamura attended and graduated from Tulane University School Of Medicine in 2002
  NPI Data:
  • NPI Number: 1669442422
  • Provider Enumeration Date: 01/25/2006
  • Last Update Date: 03/09/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 2860396066
  • Enrollment ID: I20061211000656

Medical Identifiers

Medical identifiers for Krystal J Holderness Nakamura such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669442422NPI-NPPES
26722054MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 44146 (Colorado)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Skin Cancer And Dermatology Center Of Colorado Springs, P.c.27694748406

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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. Krystal J Holderness Nakamura allows following entities to bill medicare on her behalf.
Entity NameSkin Cancer And Dermatology Center Of Colorado Springs, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588631055
PECOS PAC ID: 2769474840
Enrollment ID: O20040330001846

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Entity NameSouthern Colorado Dermatology Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548409139
PECOS PAC ID: 0244388270
Enrollment ID: O20090501000158

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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. Krystal J Holderness Nakamura 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
Krystal J Holderness Nakamura, MD
2001 Lake Ave,
Pueblo, CO 81004-3538

Ph: (719) 564-5544
Krystal J Holderness Nakamura, MD
2001 Lake Ave,
Pueblo, CO 81004-3538

Ph: (719) 564-5544

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Read more News

› Verified 5 days ago


Dermatology Doctors in Pueblo, CO

Sharon Marrs Kessler, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 131 Colorado Ave, Pueblo, CO 81004
Phone: 719-542-4388    Fax: 719-542-2854
Dr. John Joseph Schmidt, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 509 W 17th St, Pueblo, CO 81003
Phone: 719-543-2211    Fax: 719-584-4779
Kim K Dernovsek, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 1925 E Orman Ave, Ste 115, Pueblo, CO 81004
Phone: 719-564-4500    Fax: 719-564-0304
Judith L. Mcguinn, M.D.
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 1600 W. 24th Street, Pueblo, CO 81003
Phone: 719-546-4637    

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