Dr Kelly Tay Locke, MD | |
401 Castle Creek Rd, Aspen, CO 81611-1159 | |
(970) 279-4111 | |
Not Available |
Full Name | Dr Kelly Tay Locke |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 33 Years |
Location | 401 Castle Creek Rd, Aspen, Colorado |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376546002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 210985 (Alaska) | Secondary |
207Q00000X | Family Medicine | 38023 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bristol Bay Area Health Corporation | Dillingham, AK | Hospital |
Peacehealth Ketchikan Medical Center | Ketchikan, AK | Hospital |
Aspen Valley Hospital | Aspen, CO | Hospital |
Valley View Hospital Association | Glenwood springs, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bristol Bay Area Health Corporation | 5890699920 | 59 |
High Plains Community Health Center Incorporated | 8527031533 | 16 |
Entity Name | Bristol Bay Area Health Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235291246 PECOS PAC ID: 5890699920 Enrollment ID: O20031120000998 |
Mailing Address | Practice Location Address |
---|---|
Dr Kelly Tay Locke, MD 401 Castle Creek Rd, Aspen, CO 81611-1159 Ph: (970) 279-4111 | Dr Kelly Tay Locke, MD 401 Castle Creek Rd, Aspen, CO 81611-1159 Ph: (970) 279-4111 |
Anne M Goyette, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Founders Pl, Suite 109, Aspen, CO 81611 Phone: 970-920-0104 Fax: 970-920-0124 | |
Stephanie Karozos, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 N Mill St Ste 116, Aspen, CO 81611 Phone: 970-544-1234 |