Andrea Wilson Mead, MD | |
3520 E 15th St, Loveland, CO 80538-8938 | |
(970) 313-2700 | |
(970) 313-2727 |
Full Name | Andrea Wilson Mead |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 3520 E 15th St, Loveland, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992788129 | NPI | - | NPPES |
0731497 | Medicaid | IA | |
01370436 | Medicaid | CO | |
WI99334 | Other | CO | ANTHEM BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 37043 (Colorado) | Secondary |
208000000X | Pediatrics | DR.0037043 (Colorado) | Primary |
Entity Name | Poudre Valley Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
Mailing Address | Practice Location Address |
---|---|
Andrea Wilson Mead, MD 2500 Rocky Mountain Ave, Ste 330, Loveland, CO 80538-9004 Ph: (970) 313-2700 | Andrea Wilson Mead, MD 3520 E 15th St, Loveland, CO 80538-8938 Ph: (970) 313-2700 |
Christian Pariseau, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 Rocky Mountain Ave Ste 330, Loveland, CO 80538 Phone: 970-313-2700 | |
Bradley A Ethington, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2555 E 13th St Ste 130, Loveland, CO 80537 Phone: 970-663-5437 Fax: 970-669-5762 | |
Mr. Michael David Quintana, MEDICAL DOCTOR Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2021 Boise Ave, Loveland, CO 80538 Phone: 970-669-3298 Fax: 970-669-6244 | |
Jennifer Coleman Norman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2555 E 13th St, Ste 130, Loveland, CO 80537 Phone: 970-663-5437 Fax: 970-669-5762 | |
Harkirtin Kaur Mciver, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1635 Foxtrail Dr Ste 118, Loveland, CO 80538 Phone: 970-236-8747 Fax: 562-261-1036 | |
Dr. Phillip W Rhoads, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 239 W 67th Ct, Loveland, CO 80538 Phone: 970-599-0330 Fax: 970-230-6811 | |
Jenny K Patrick, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2555 E 13th St, Suite 130, Loveland, CO 80537 Phone: 970-663-5437 Fax: 970-669-5762 |