Derek Gerald Stadie, | |
1024 S Lemay Ave, Fort Collins, CO 80524 | |
(303) 306-7783 | |
(303) 306-7753 |
Full Name | Derek Gerald Stadie |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 11 Years |
Location | 1024 S Lemay Ave, Fort Collins, 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 |
---|---|---|---|
1245573898 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | DR.0055802 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Poudre Valley Hospital | Fort collins, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emergency Physicians Of The Rockies, Pc | 0345232492 | 58 |
Entity Name | Emergency Physicians Of The Rockies, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174570717 PECOS PAC ID: 0345232492 Enrollment ID: O20040401001494 |
Entity Name | Poudre Valley Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
Mailing Address | Practice Location Address |
---|---|
Derek Gerald Stadie, Po Box 91225, Denver, CO 80291-2215 Ph: (303) 306-7783 | Derek Gerald Stadie, 1024 S Lemay Ave, Fort Collins, CO 80524 Ph: (303) 306-7783 |
Keasha Nohelani Kuhnen, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 303-306-7783 Fax: 303-306-7753 | |
Alexa L Toth, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 Pennock Place, Suite 121, Fort Collins, CO 80524 Phone: 970-495-8800 Fax: 970-495-8820 | |
Thomas John Fralich, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 303-306-7783 Fax: 303-306-7753 | |
Tyler Creighton Vaughn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-495-7000 Fax: 303-306-7753 | |
Jeremy Salsberg, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-495-7000 Fax: 970-495-7611 | |
Devin A. Rickett, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-495-7000 Fax: 303-306-7753 | |
Shelley W. Moore, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3519 Richmond Dr, Fort Collins, CO 80526 Phone: 970-204-0300 Fax: 970-221-5206 |