Dr Douglas Lee Kruckner, MD | |
900 Cedar St, Julesburg, CO 80737 | |
(970) 474-3323 | |
(970) 474-2461 |
Full Name | Dr Douglas Lee Kruckner |
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Gender | Male |
Speciality | Family Medicine |
Location | 900 Cedar St, Julesburg, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932192226 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M1189 (Texas) | Secondary |
207Q00000X | Family Medicine | 49376 (Colorado) | Primary |
Entity Name | Okeene Municipal Hospital And Schallmo Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053478024 PECOS PAC ID: 3971583535 Enrollment ID: O20050212000003 |
Entity Name | Okeene Municipal Hospital And Schallmo Authority |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1336142033 PECOS PAC ID: 3971583535 Enrollment ID: O20061104000711 |
Mailing Address | Practice Location Address |
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Dr Douglas Lee Kruckner, MD 900 Cedar St, Julesburg, CO 80737 Ph: (970) 474-3323 | Dr Douglas Lee Kruckner, MD 900 Cedar St, Julesburg, CO 80737 Ph: (970) 474-3323 |
Donald Dean Regier, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 116 E 9th St, Julesburg, CO 80737 Phone: 970-474-3376 Fax: 970-474-2461 | |
Dr. William Malcolm Brown Iii, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Cedar St, Julesburg, CO 80737 Phone: 970-474-3323 | |
Michael Lipnick, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 116 E 9th St, Julesburg, CO 80737 Phone: 970-474-3376 Fax: 970-474-2461 | |
Craig Patrick Erickson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Cedar St, Julesburg, CO 80737 Phone: 970-474-3323 Fax: 970-474-2758 |