Dr Ambrose Soler, MD | |
1338 Phay Ave, Bldg D Peds, Canon City, CO 81212 | |
(719) 285-2091 | |
(719) 285-2092 |
Full Name | Dr Ambrose Soler |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1338 Phay Ave, Canon City, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710915525 | NPI | - | NPPES |
1710915525 | Other | WY | BCBS |
1710915525 | Medicaid | WY | |
025039900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME53270 (Florida) | Secondary |
208000000X | Pediatrics | 8373A (Wyoming) | Secondary |
208000000X | Pediatrics | DR.0057467 (Colorado) | Primary |
Entity Name | Catholic Health Initiatives Colorado |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
Mailing Address | Practice Location Address |
---|---|
Dr Ambrose Soler, MD 1338 Phay Ave, Bldg D Peds, Canon City, CO 81212-2326 Ph: (719) 285-2091 | Dr Ambrose Soler, MD 1338 Phay Ave, Bldg D Peds, Canon City, CO 81212 Ph: (719) 285-2091 |
Ms. Rebecca K. Romano, LPC, NCC Pediatrics Medicare: Medicare Enrolled Practice Location: 402 Valley Rd Ste I, Canon City, CO 81212 Phone: 719-371-2767 | |
Dr. Elizabeth S Wilson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 614 Yale Pl, Canon City, CO 81212 Phone: 719-285-2700 Fax: 719-285-2975 | |
Dr. Ananya Guha Lusero, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1335 Phay Ave, Suite A, Canon City, CO 81212 Phone: 719-285-2091 Fax: 719-285-2092 | |
Dr. Rita M Estep, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1335 Phay St. Medical, Canon City, CO 81212 Phone: 719-275-2301 Fax: 719-275-7048 |