Dr David A Podlecki, MD | |
1925 W Mountain View Ave, Longmont, CO 80501-3128 | |
(303) 776-1234 | |
(720) 494-3107 |
Full Name | Dr David A Podlecki |
---|---|
Gender | Male |
Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 1925 W Mountain View Ave, Longmont, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649277815 | NPI | - | NPPES |
01236462 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 23646 (Colorado) | Primary |
Entity Name | Poudre Valley Medical Group Llc |
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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 |
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Dr David A Podlecki, MD 1925 W Mountain View Ave, Longmont, CO 80501-3128 Ph: (303) 776-1234 | Dr David A Podlecki, MD 1925 W Mountain View Ave, Longmont, CO 80501-3128 Ph: (303) 776-1234 |
Ms. Prachi Toni Patel, D.O. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 2101 Ken Pratt Blvd Ste 104, Longmont, CO 80501 Phone: 303-415-4157 Fax: 303-776-3109 | |
Carl Noble, DO Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 1400 Dry Creek Dr, Longmont, CO 80503 Phone: 303-772-3300 Fax: 303-682-3380 | |
Theresa A Tyler, Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 2345 Bent Way, Longmont, CO 80503 Phone: 303-743-5855 | |
Hossein Maymani, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 1760 E Ken Pratt Blvd Ste 302, Longmont, CO 80504 Phone: 303-684-1900 Fax: 303-684-1925 | |
Dr. Lynn Marie Carlyle, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 1551 Professional Ln Unit 150, Longmont, CO 80501 Phone: 720-388-7760 Fax: 720-405-4228 | |
Dr. Linda Backup, MD Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 1925 W Mountain View Ave, Longmont, CO 80501 Phone: 303-776-1234 Fax: 720-494-3107 | |
Dr. Anita R. Ritenour, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 1750 E Ken Pratt Blvd, Longmont, CO 80504 Phone: 720-718-7000 |