Ann L Mellott, MD | |
4110 Briargate Pkwy, Suite 465, Colorado Springs, CO 80920-7835 | |
(719) 365-6568 | |
(719) 364-3582 |
Full Name | Ann L Mellott |
---|---|
Gender | Female |
Speciality | Hematology/oncology |
Experience | 29 Years |
Location | 4110 Briargate Pkwy, Colorado Springs, 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 |
---|---|---|---|
1194704262 | NPI | - | NPPES |
036096502 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | 036096502 (Illinois) | Secondary |
207RH0003X | Internal Medicine - Hematology & Oncology | DR.0056052 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Uch-memorial Health System | Colorado springs, CO | Hospital |
Uchealth Grandview Hospital | Colorado springs, CO | Hospital |
Uchealth Pikes Peak Regional Hospital | Woodland park, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Poudre Valley Medical Group Llc | 9638208549 | 1607 |
Entity Name | Poudre Valley Medical Group Llc |
---|---|
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 |
---|---|
Ann L Mellott, MD 4110 Briargate Pkwy, Suite 465, Colorado Springs, CO 80920-7835 Ph: (719) 365-6568 | Ann L Mellott, MD 4110 Briargate Pkwy, Suite 465, Colorado Springs, CO 80920-7835 Ph: (719) 365-6568 |
Michael Judd Burkholz, D.O. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2940 N Circle Dr, Colorado Springs, CO 80909 Phone: 719-635-7321 Fax: 719-635-2510 | |
Mrs. Rachel Elizabeth Black, DO Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 2222 N Nevada Ave Ste 4004, Colorado Springs, CO 80907 Phone: 719-471-7064 | |
Dr. Rohan Khurana, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909 Phone: 719-365-1292 Fax: 719-365-6997 | |
William A Munson, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 325 E Fontanero St, Colorado Springs Endocrine Clinic Pc, Colorado Springs, CO 80907 Phone: 719-636-3829 Fax: 719-636-1387 | |
Barbara E Johnston, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 175 S Union Blvd Ste 350, Colorado Springs, CO 80910 Phone: 719-633-5515 Fax: 719-365-1307 | |
Dr. Raymond L. Wahl, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 2502 E Pikes Peak Ave, Colorado Springs, CO 80909 Phone: 719-630-6440 Fax: 719-228-6603 | |
Dr. Duane Ryan Spaulding, M.D., F.A.C.P. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 6722 Northface Ln, Colorado Springs, CO 80919 Phone: 719-590-9338 |