Anthony Richard Declusin, MD | |
1925 Mountain View Ave, Longmont, CO 80501-3128 | |
(720) 718-8070 | |
(720) 494-3107 |
Full Name | Anthony Richard Declusin |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 6 Years |
Location | 1925 Mountain View Ave, Longmont, Colorado |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669977997 | NPI | - | NPPES |
9000163141 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | DR.0066615 (Colorado) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | DR.0066615 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Longs Peak Hospital | Longmont, CO | Hospital |
Medical Center Of The Rockies | Loveland, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Poudre Valley Medical Group Llc | 9638208549 | 1607 |
Entity Name | Denver Health And Hospital Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477569838 PECOS PAC ID: 4688583578 Enrollment ID: O20031105000211 |
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 |
---|---|
Anthony Richard Declusin, MD 1925 Mountain View Ave, Longmont, CO 80501-3128 Ph: (720) 718-8070 | Anthony Richard Declusin, MD 1925 Mountain View Ave, Longmont, CO 80501-3128 Ph: (720) 718-8070 |
William Louis Fink, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1707 Main St, Suite 404, Longmont, CO 80501 Phone: 303-776-9797 Fax: 303-776-7693 | |
Dr. Robert George Ruegg Jr., MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 529 Coffman St, #300, Longmont, CO 80501 Phone: 303-684-0555 Fax: 970-336-5000 | |
Dr. Haven Howell, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 500 Kimbark St, Suite 200, Longmont, CO 80501 Phone: 720-652-0416 Fax: 720-652-0408 | |
Dr. Aaron Gavin Meng, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2345 Bent Way, Longmont, CO 80503 Phone: 303-338-4545 | |
Dr. Alendia Hartshorn, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1511 Onyx Cir, Longmont, CO 80504 Phone: 303-776-5298 | |
Dr. Pierre V Pavot, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2030 Mountain View Ave, Suite 300, Longmont, CO 80501 Phone: 303-485-3535 Fax: 303-485-3536 | |
Dr. Grant Michael Warmouth, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1511 Onyx Cir, Longmont, CO 80504 Phone: 303-776-5298 |