Individual ProviderMatthew GolubStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address12605 E Colfax Ave, Aurora, CO 80045(720) 848-0000(303) 257-5084PECOS EnrollmentBased on the most recent information from CMS, provider Matthew Golub is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 8:47 AM.Profile DetailsProvider ID1023755790Provider TypeIndividualFull NameGolub, MatthewTitleDr.CredentialMDGenderMaleSole ProprietorYesEnumeration Date5/16/2022Last Updated5/16/2022Contact InformationPractice LocationPractice Address12605 E Colfax Ave, Aurora, CO 80045Phone(720) 848-0000FaxUnlisted FaxMailing LocationMailing Address2900 E 16th Ave Apt 322, Denver, CO 80206-1683Phone(303) 257-5084FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseTL0009400Colorado