Devin Sponseller, | |
1801 16th St, Greeley, CO 80631-5154 | |
(970) 810-4121 | |
Not Available |
Full Name | Devin Sponseller |
---|---|
Gender | Female |
Speciality | Surgery - Vascular Surgery |
Location | 1801 16th St, Greeley, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609237049 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 5101026231 (Michigan) | Primary |
Entity Name | Banner Health Physicians Colorado Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073899134 PECOS PAC ID: 8921273038 Enrollment ID: O20111219000237 |
Mailing Address | Practice Location Address |
---|---|
Devin Sponseller, 127 Seatrain Dr, Delaware, OH 43015-4086 Ph: (740) 815-5181 | Devin Sponseller, 1801 16th St, Greeley, CO 80631-5154 Ph: (970) 810-4121 |
Robert Peteris Vickerman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1800 15th St, Suite 210, Greeley, CO 80631 Phone: 970-352-8216 Fax: 970-352-5297 | |
Dr. Lesley A Fraser, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1900 16th St, Greeley, CO 80631 Phone: 970-350-2426 Fax: 970-350-2452 | |
Jason Wing Tcheng, MD, FACS Surgery Medicare: Accepting Medicare Assignments Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 970-810-3894 | |
Dr. Michael E Peetz, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1900 16th St, Greeley, CO 80631 Phone: 970-313-2426 Fax: 970-350-2452 | |
Dr. Jason W Ogren, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1900 16th St, Greeley, CO 80631 Phone: 970-350-2426 Fax: 970-350-2478 | |
Mrs. Kelsey Rains Shay, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 970-810-3894 Fax: 970-810-3897 | |
Dr. Joseph A Tyburczy, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1800 15th St, Suite 210, Greeley, CO 80631 Phone: 970-352-8216 Fax: 970-352-5297 |