Charles Gast, | |
1120 E Elizabeth St Ste F101, Fort Collins, CO 80524-4044 | |
(970) 221-1177 | |
Not Available |
Full Name | Charles Gast |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 1120 E Elizabeth St Ste F101, Fort Collins, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659814663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 0070200 (Colorado) | Primary |
Entity Name | Alpine Ear Nose And Throat Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790720464 PECOS PAC ID: 9436127032 Enrollment ID: O20040921001320 |
Mailing Address | Practice Location Address |
---|---|
Charles Gast, 15730 Sw Misty Ct, Beaverton, OR 97007-4924 Ph: (970) 691-7924 | Charles Gast, 1120 E Elizabeth St Ste F101, Fort Collins, CO 80524-4044 Ph: (970) 221-1177 |
Dr. Mark Camden Loury, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2001 S Shields St Ste E101, Fort Collins, CO 80526 Phone: 970-493-5334 Fax: 970-493-3727 | |
Eric Mason, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1120 E Elizabeth St # F01, Fort Collins, CO 80524 Phone: 970-498-2903 | |
Christopher Mark Eriksen, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 1120 E Elizabeth St, F-101, Fort Collins, CO 80524 Phone: 970-221-1177 Fax: 970-416-1969 | |
Dr. Thomas Alexander Mcknight, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1120 E Elizabeth St Ste F101, Fort Collins, CO 80524 Phone: 970-498-2903 | |
Dr. Matthew Lee Robertson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1120 E Elizabeth St, #f-101, Fort Collins, CO 80524 Phone: 970-221-1177 | |
Bruce Michael Smith, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2121 E Harmony Rd, Suite 350, Fort Collins, CO 80528 Phone: 970-484-6373 Fax: 970-484-0382 | |
Dr. Stephen Michael Wold, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1120 E Elizabeth St Ste F101, Fort Collins, CO 80524 Phone: 970-221-1177 Fax: 970-484-5990 |