Bruce W Martin, MD | |
3101 Summit View Dr., Dacono, CO 80514 | |
(303) 925-4150 | |
(303) 925-4152 |
Full Name | Bruce W Martin |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 3101 Summit View Dr., Dacono, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023012366 | NPI | - | NPPES |
3107987 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301044691 (Michigan) | Secondary |
207Q00000X | Family Medicine | 54105 (Colorado) | Primary |
Entity Name | Catholic Health Initiatives Colorado |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
Mailing Address | Practice Location Address |
---|---|
Bruce W Martin, MD 3101 Summit View Dr., Dacono, CO 80514 Ph: (303) 925-4150 | Bruce W Martin, MD 3101 Summit View Dr., Dacono, CO 80514 Ph: (303) 925-4150 |
Dr. Timothy J Nagel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4943 State Highway 52, Dacono, CO 80514 Phone: 303-501-2600 | |
Carrie Elizabeth Wilcox, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4943 State Highway 52, Ste 240, Dacono, CO 80514 Phone: 303-501-2600 Fax: 303-833-7017 | |
Mr. Charles E Tawa, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4943 State Highway 52, Dacono, CO 80514 Phone: 303-501-2600 Fax: 303-833-7017 | |
David Z Tusek, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4943 State Highway 52, Dacono, CO 80514 Phone: 303-501-2600 Fax: 303-833-7017 | |
Dr. Clint Flanagan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4943 State Highway 52, Ste 240, Dacono, CO 80514 Phone: 303-501-2600 Fax: 303-833-7017 |