Charles R Dygert, MD | |
56 Club Manor Drive, Suite 100, Pueblo, CO 81008-1685 | |
(719) 584-4767 | |
(719) 595-7906 |
Full Name | Charles R Dygert |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 42 Years |
Location | 56 Club Manor Drive, Pueblo, 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 |
---|---|---|---|
1245391648 | NPI | - | NPPES |
41571771 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 34483 (Colorado) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Parkview Ancillary Services Corporation | 4385722511 | 265 |
Entity Name | West Central Mental Health Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265565824 PECOS PAC ID: 0042102733 Enrollment ID: O20040326001311 |
Entity Name | Parkview Ancillary Services Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982878765 PECOS PAC ID: 4385722511 Enrollment ID: O20080429000248 |
Mailing Address | Practice Location Address |
---|---|
Charles R Dygert, MD Po Box 560825, Denver, CO 80256-0825 Ph: (719) 595-7580 | Charles R Dygert, MD 56 Club Manor Drive, Suite 100, Pueblo, CO 81008-1685 Ph: (719) 584-4767 |
Dr. Robert M. Long, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4495 Fax: 719-546-4476 | |
Dr. Sharon Ann Allen, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 909 Court Street, Pueblo, CO 81003 Phone: 719-583-6430 Fax: 719-583-4577 | |
Scott Andrew Walmer, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 56 Club Manor Drive, Suite 100, Pueblo, CO 81008 Phone: 719-584-4767 Fax: 719-595-7906 | |
Caitlin Vigil, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4000 | |
Holly Anna Waller, APN Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4000 | |
Dr. Susan R. Middleton, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 56 Club Manor Dr, Pueblo, CO 81008 Phone: 719-584-4767 Fax: 719-595-7906 | |
Dr. Kenneth Rudolph Locke, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4818 |