Alexandra Theriault, MD | |
1420 W Canal Ct, #50, Littleton, CO 80120-5655 | |
(303) 795-2030 | |
(303) 795-2153 |
Full Name | Alexandra Theriault |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 28 Years |
Location | 1420 W Canal Ct, Littleton, Colorado |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609980713 | NPI | - | NPPES |
59251573 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 38122 (Colorado) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Center For Advanced Dermatology Llc | 0143208827 | 18 |
Entity Name | Alexandra Theriault, Md, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043382401 PECOS PAC ID: 3870482532 Enrollment ID: O20040311001252 |
Entity Name | Center For Advanced Dermatology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497765762 PECOS PAC ID: 0143208827 Enrollment ID: O20040709000463 |
Mailing Address | Practice Location Address |
---|---|
Alexandra Theriault, MD 1420 W Canal Ct, #50, Littleton, CO 80120-5655 Ph: (303) 795-2030 | Alexandra Theriault, MD 1420 W Canal Ct, #50, Littleton, CO 80120-5655 Ph: (303) 795-2030 |
Mrs. Natalia P Bealer, RN Dermatology Medicare: Not Enrolled in Medicare Practice Location: 5555 E Arapahoe Rd, Littleton, CO 80122 Phone: 303-850-2101 | |
Dr. William Howe, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2009 W Littleton Blvd, Suite 100, Littleton, CO 80120 Phone: 303-221-4448 Fax: 720-287-6235 | |
Riley Greene, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2009 W Littleton Blvd # 100, Littleton, CO 80120 Phone: 303-221-4448 | |
Tiffany Lee Tello, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1420 W Canal Ct Ste 50, Littleton, CO 80120 Phone: 303-795-2030 | |
Dr. Michelle Therese Chevalier, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1420 W Canal Ct Ste 50, Littleton, CO 80120 Phone: 303-795-2030 Fax: 303-795-2153 | |
Marcia L Dew, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 5555 E Arapahoe Rd, Littleton, CO 80122 Phone: 303-850-2182 |