Dr Gwen H Lisella, MD | |
2121 E Harmony Rd, Ste 160, Fort Collins, CO 80528-3400 | |
(970) 482-3328 | |
(970) 482-1433 |
Full Name | Dr Gwen H Lisella |
---|---|
Gender | Female |
Speciality | Radiation Oncology |
Experience | 36 Years |
Location | 2121 E Harmony Rd, Fort Collins, Colorado |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457397440 | NPI | - | NPPES |
01339894 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 33989 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Poudre Valley Hospital | Fort collins, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Poudre Valley Medical Group Llc | 9638208549 | 1607 |
Entity Name | Poudre Valley Medical Group Llc |
---|---|
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 |
---|---|
Dr Gwen H Lisella, MD 2121 E Harmony Rd, Suite 160, Fort Collins, CO 80528-3400 Ph: (970) 482-3328 | Dr Gwen H Lisella, MD 2121 E Harmony Rd, Ste 160, Fort Collins, CO 80528-3400 Ph: (970) 482-3328 |
Dr. Tracy Haefele Florant, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 430 Spinnaker Ln, Fort Collins, CO 80525 Phone: 970-988-8637 | |
Karl E. Magsamen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-495-7000 Fax: 970-495-7639 | |
Dr. David H Rice, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-484-4757 | |
Dr. Karen B Alderfer, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-495-7000 | |
Dr. Nathan Miller, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-495-7000 | |
Dr. Kevin Limbaugh, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-495-8600 Fax: 970-495-7619 | |
Matthew Ross Lafleur, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-495-7000 |