Dr Carl Albert Moritz Jr, MD | |
2760 29th St, Suite 2b, Boulder, CO 80301 | |
(303) 444-6400 | |
(303) 444-6465 |
Full Name | Dr Carl Albert Moritz Jr |
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Gender | Male |
Speciality | Family Medicine |
Location | 2760 29th St, Boulder, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538128434 | NPI | - | NPPES |
01263995 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 26399 (Colorado) | Primary |
Entity Name | Crossroads Medical Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164048161 PECOS PAC ID: 1557716016 Enrollment ID: O20231018002955 |
Mailing Address | Practice Location Address |
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Dr Carl Albert Moritz Jr, MD 2760 29th St, Suite 2b, Boulder, CO 80301 Ph: (303) 444-6400 | Dr Carl Albert Moritz Jr, MD 2760 29th St, Suite 2b, Boulder, CO 80301 Ph: (303) 444-6400 |
Jill Siegfried, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2750 Broadway St, Boulder, CO 80304 Phone: 303-440-3000 | |
Stefan J. Chimoskey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3601 Arapahoe Ave, Unit D180, Boulder, CO 80303 Phone: 720-845-5858 Fax: 505-288-3642 | |
Karin Dejong Vanbaak, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5495 Arapahoe Ave, Boulder, CO 80303 Phone: 720-848-9200 | |
Dr. Peter C Ewing, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2995 Baseline Rd, Suite 210, Boulder, CO 80303 Phone: 303-443-2544 Fax: 303-443-6475 | |
Andrew James Mcbride, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1755 48th St Ste 200, Boulder, CO 80301 Phone: 303-415-7450 Fax: 303-494-5265 | |
Dr. Gary S. Kahn, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 995 Quince Ave, Boulder, CO 80304 Phone: 303-395-4321 | |
Dr. Michael Corey Mccarty, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6685 Gunpark Dr, Ste. 110, Boulder, CO 80301 Phone: 303-415-7599 Fax: 303-530-5474 |