Dr Alisabeth A Thurston-hicks, MD | |
3225 Independence Rd, Canon City, CO 81212-9380 | |
(719) 275-2351 | |
(719) 269-9386 |
Full Name | Dr Alisabeth A Thurston-hicks |
---|---|
Gender | Female |
Speciality | Psychiatry |
Experience | 37 Years |
Location | 3225 Independence Rd, Canon City, Colorado |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043367634 | NPI | - | NPPES |
01351295 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 35129 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fairbanks Memorial Hospital | Fairbanks, AK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fairbanks Psychiatric And Neurological Clinic A Prof Corp | 9931091170 | 4 |
Entity Name | Fairbanks Psychiatric And Neurological Clinic A Prof Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518075100 PECOS PAC ID: 9931091170 Enrollment ID: O20040325000179 |
Mailing Address | Practice Location Address |
---|---|
Dr Alisabeth A Thurston-hicks, MD 3225 Independence Rd, Canon City, CO 81212-9380 Ph: (719) 275-2351 | Dr Alisabeth A Thurston-hicks, MD 3225 Independence Rd, Canon City, CO 81212-9380 Ph: (719) 275-2351 |
Dr. Mark Wayne Diamond, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3225 Independence Rd, Canon City, CO 81212 Phone: 719-275-2351 Fax: 719-269-9386 | |
Dr. Michael Ray Gummow, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 3225 Independence Rd, Canon City, CO 81212 Phone: 719-275-2351 | |
Dr. Robert E Tonsing, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 3225 Independence Rd, Canon City, CO 81212 Phone: 719-275-2351 Fax: 719-269-9386 |