Dr Hector Eduardo De Leon, MD | |
2950 E Harmony Rd, Fort Collins, CO 80528-3419 | |
(303) 338-4545 | |
Not Available |
Full Name | Dr Hector Eduardo De Leon |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 2950 E Harmony Rd, Fort Collins, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194929752 | NPI | - | NPPES |
50029771 | Medicaid | CO | |
022972 | Other | CO | KAISER COMMERCIAL NUMBER |
3805159032 | Other | MYUTMB 3805159032-COMMERCIAL NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | BP1-0023109 (Texas) | Secondary |
208000000X | Pediatrics | 51278 (Colorado) | Primary |
Entity Name | Colorado Permanente Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640 |
Mailing Address | Practice Location Address |
---|---|
Dr Hector Eduardo De Leon, MD 2500 S Havana St, Aurora, CO 80014-1618 Ph: (303) 338-4545 | Dr Hector Eduardo De Leon, MD 2950 E Harmony Rd, Fort Collins, CO 80528-3419 Ph: (303) 338-4545 |
Dr. Michael R Hobaugh, MD, PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1330 Oakridge Dr., Ste 100, Pediatric Associates Of Northern Colorado, Fort Collins, CO 80525 Phone: 970-484-4871 Fax: 970-482-4927 | |
Julie M. Brockway, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 E Elizabeth St, Fort Collins, CO 80524 Phone: 970-416-6286 Fax: 970-482-2635 | |
Dr. Kathlene Sue Waller, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Hartshorn Health Service, Colorado State University, Fort Collins, CO 80523 Phone: 970-491-7121 Fax: 970-491-0226 | |
Amy Macritchie, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-495-8282 | |
Sarah Jayne Hathcock, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1635 Blue Spruce Dr, Fort Collins, CO 80524 Phone: 303-697-2583 Fax: 970-494-4050 | |
Kathleen Anne Hannifan, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 E Elizabeth St, The Youth Clinic, Fort Collins, CO 80524 Phone: 979-267-9510 | |
Dr. Richard Rawson Booth, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2001 S. Shields Street, Bldg G, Fort Collins, CO 80526 Phone: 970-484-4871 Fax: 970-482-4927 |