Dr Debra J Mccormack, MD | |
729 E Spaulding Ave, Pueblo West, CO 81007-3512 | |
(719) 547-9119 | |
(719) 547-7555 |
Full Name | Dr Debra J Mccormack |
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Gender | Female |
Speciality | Family Medicine |
Location | 729 E Spaulding Ave, Pueblo West, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013993187 | NPI | - | NPPES |
51535235 | Other | AL | BLUE CROSS BLUE SHIELD OF ALABAMA |
9939616 | Medicaid | AL | |
P01100409 | Other | CO | RAILROAD MEDICARE |
38673533 | Medicaid | CO | |
P00344585 | Other | AL | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 27445 (Alabama) | Secondary |
207Q00000X | Family Medicine | DR.0051488 (Colorado) | Primary |
Entity Name | Catholic Health Initiatives Colorado |
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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 |
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Dr Debra J Mccormack, MD 729 E Spaulding Ave, Pueblo West, CO 81007-3512 Ph: (719) 547-9119 | Dr Debra J Mccormack, MD 729 E Spaulding Ave, Pueblo West, CO 81007-3512 Ph: (719) 547-9119 |
Dr. Donald F Benton, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 121 S. Crescent Drive, Suite B, Pueblo West, CO 81007 Phone: 719-595-7575 Fax: 719-547-8368 | |
Dr. Abner Fernandez, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 121 S. Crescent Drive, Pueblo West, CO 81007 Phone: 719-595-7575 Fax: 719-547-8368 | |
Dr. John Todd White, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 729 E Spaulding Ave, Pueblo West, CO 81007 Phone: 719-547-9119 Fax: 719-547-7555 | |
Dana Ransom Bennett, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 121 S Crescent Dr, Pueblo West, CO 81007 Phone: 719-595-7575 Fax: 719-547-8368 | |
Dr. Noah Stephan Zimbelman, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 E Dunlap Dr, Pueblo West, CO 81007 Phone: 719-547-5138 Fax: 719-547-4374 | |
Michael Joseph Ramos, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 121 S Crescent Dr, Pueblo West, CO 81007 Phone: 719-595-7575 Fax: 719-547-8368 |