Craig Lelland Lastine, MD | |
2021 N 12th St, Grand Junction, CO 81501-2980 | |
(970) 242-0920 | |
(406) 587-1343 |
Full Name | Craig Lelland Lastine |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 31 Years |
Location | 2021 N 12th St, Grand Junction, 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 |
---|---|---|---|
1891753497 | NPI | - | NPPES |
152524 | Medicaid | MT | |
06350003 | Medicaid | CO | |
0152507 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | DR.0044010 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Uch-memorial Health System | Colorado springs, CO | Hospital |
San Luis Valley Health | Alamosa, CO | Hospital |
Uchealth Pikes Peak Regional Hospital | Woodland park, CO | Hospital |
Uchealth Grandview Hospital | Colorado springs, CO | Hospital |
San Luis Valley Health Conejos County Hospital | La jara, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiology And Imaging Consultants, Pc | 1850298647 | 40 |
Uchealth Imaging Services Llc | 5799021291 | 130 |
Radiology And Imaging Consultants, Pc | 1850298647 | 40 |
Entity Name | Radiology & Imaging Consultants, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598700825 PECOS PAC ID: 1850298647 Enrollment ID: O20031218000702 |
Entity Name | Uchealth Imaging Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396210902 PECOS PAC ID: 5799021291 Enrollment ID: O20190103002022 |
Entity Name | Advanced Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558416974 PECOS PAC ID: 2860451648 Enrollment ID: O20190831000084 |
Entity Name | Radiology Associates Of Albuquerque Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881666998 PECOS PAC ID: 2860304482 Enrollment ID: O20190926002793 |
Mailing Address | Practice Location Address |
---|---|
Craig Lelland Lastine, MD Po Box 308, Montrose, CO 81402-0308 Ph: (970) 497-8416 | Craig Lelland Lastine, MD 2021 N 12th St, Grand Junction, CO 81501-2980 Ph: (970) 242-0920 |
Gayle Patrice Miller, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 2596 F Rd, Grand Junction, CO 81505 Phone: 970-254-3180 | |
Christopher O'hara Hampson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2635 N 7th St, Grand Junction, CO 81501 Phone: 877-406-2916 Fax: 334-671-1696 | |
Corey Tait Eastham Sours, R.T. (R)(CT)(ARRT) Radiology Medicare: Not Enrolled in Medicare Practice Location: 2121 North Ave, Grand Junction, CO 81501 Phone: 970-242-0731 | |
John Terry Leever, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2021 N 12th St, Grand Junction, CO 81501 Phone: 970-256-6440 | |
Dr. Richard Eustis Fulton Iii, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1556 Wellington Ave, Grand Junction, CO 81501 Phone: 970-241-4406 | |
Dr. Justin M. Kaptuch, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2351 G Rd, Grand Junction, CO 81505 Phone: 970-644-3237 Fax: 970-644-3259 | |
John R Bumgarner, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2635 N 7th St, Grand Junction, CO 81501 Phone: 970-241-9729 |