Dr Kathleen A Daetwyler, MD | |
10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | |
(303) 338-4545 | |
Not Available |
Full Name | Dr Kathleen A Daetwyler |
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Gender | Female |
Speciality | Anesthesiology |
Location | 10240 Park Meadows Dr, Lone Tree, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134352818 | NPI | - | NPPES |
026021 | Other | CO | KAISER COMMERCIAL NUMBER |
70053235 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | BC5174494-374 (Massachusetts) | Secondary |
207L00000X | Anesthesiology | 0054867 (Colorado) | Primary |
Entity Name | Colorado Permanente Medical Group Pc |
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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 |
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Dr Kathleen A Daetwyler, MD 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: () - | Dr Kathleen A Daetwyler, MD 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 Ph: (303) 338-4545 |
Dr. Stacey Lynn Warner, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9777 S Yosemite St Ste 210, Lone Tree, CO 80124 Phone: 303-708-2943 | |
Dr. Ryan Robert Wilson, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 10240 Park Meadows Dr, Lone Tree, CO 80124 Phone: 303-338-4545 | |
Dr. Jefferson P Mostellar, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10240 Park Meadows Dr, Lone Tree, CO 80124 Phone: 303-338-4545 | |
Long D Vu, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10375 Park Meadows Dr Ste 270, Lone Tree, CO 80124 Phone: 303-351-5995 Fax: 720-925-5897 | |
Dr. Kelly O'hear Sheppard, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 10240 Park Meadows Dr, Lone Tree, CO 80124 Phone: 303-338-4545 | |
Dr. Hashim W. Khan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8500 Park Meadows Dr Ste 200, Lone Tree, CO 80124 Phone: 303-367-2252 Fax: 303-343-8702 |