Daniel Tailleur, MD | |
19021 Us Highway 285, La Jara, CO 81140 | |
(719) 274-6000 | |
(719) 274-6038 |
Full Name | Daniel Tailleur |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 22 Years |
Location | 19021 Us Highway 285, La Jara, 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 |
---|---|---|---|
1215020797 | NPI | - | NPPES |
11161 | Other | MT | STATE LIC NUMBER |
50386 | Other | CO | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 50386 (Colorado) | Primary |
208D00000X | General Practice | 11161 (Montana) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Holy Rosary Hospice | Miles city, MT | Hospice |
Holy Rosary Healthcare | Miles city, MT | Hospital |
San Luis Valley Health | Alamosa, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Valley-wide Health Systems, Inc. | 5991609067 | 32 |
Valley-wide Health Systems, Inc. | 5991609067 | 32 |
Holy Rosary Healthcare | 8921045667 | 16 |
Entity Name | Holy Rosary Healthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225201825 PECOS PAC ID: 8921045667 Enrollment ID: O20050413001081 |
Mailing Address | Practice Location Address |
---|---|
Daniel Tailleur, MD Po Box 639, La Jara, CO 81140-0639 Ph: (719) 274-6000 | Daniel Tailleur, MD 19021 Us Highway 285, La Jara, CO 81140 Ph: (719) 274-6000 |
Dr. Alfred Vaughn D Jackson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 416 Main Street, La Jara, CO 81140 Phone: 719-274-4500 Fax: 719-274-4504 | |
Marco A Celada Sr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 19021 Us Highway 285, La Jara, CO 81140 Phone: 719-274-5121 Fax: 719-274-6004 | |
Dr. Leshitha Nuwan Pilapitiya, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19021 Us Highway 285, La Jara, CO 81140 Phone: 719-274-6000 Fax: 719-274-6038 |