Bruce W Kornfeld, MD | |
1907 Boise Ave, Loveland, CO 80538-5016 | |
(970) 682-3377 | |
(970) 682-3340 |
Full Name | Bruce W Kornfeld |
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Gender | Male |
Speciality | Dermatology - Mohs-micrographic Surgery |
Location | 1907 Boise Ave, 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 |
---|---|---|---|
1326074774 | NPI | - | NPPES |
113923100 | Medicaid | WY | |
01276914 | Medicaid | CO |
Entity Name | Sage Dermatology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255002101 PECOS PAC ID: 2365840824 Enrollment ID: O20211210001125 |
Mailing Address | Practice Location Address |
---|---|
Bruce W Kornfeld, MD 1317 Teakwood Dr, Fort Collins, CO 80525-1959 Ph: (970) 222-2757 | Bruce W Kornfeld, MD 1907 Boise Ave, Loveland, CO 80538-5016 Ph: (970) 682-3377 |
Holly Hare Mccoppin, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3451 Mountain Lion Dr, Loveland, CO 80537 Phone: 970-800-9330 Fax: 720-927-4301 | |
Dr. David P Clark, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 776 W Eisenhower Blvd, Loveland, CO 80537 Phone: 970-667-3116 Fax: 970-669-0159 | |
Kevin John Mott, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1708 Boise Ave, Loveland, CO 80538 Phone: 970-667-3116 Fax: 970-669-0159 | |
Dr. Ingerlisa Wenche Mattoch, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1708 N. Boise, Loveland, CO 80538 Phone: 970-818-6788 Fax: 970-669-0159 | |
Alison Marie Bailey, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1880 Fall River Dr Ste 210, Loveland, CO 80538 Phone: 970-744-4712 | |
Dr. Jordan Fabrikant, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1907 Boise Ave Ste 3, Loveland, CO 80538 Phone: 970-682-3377 Fax: 970-683-3340 |