Dr Kenneth Max Richards, MD | |
1800 15th St, Suite 340, Greeley, CO 80631-4500 | |
(970) 378-4593 | |
Not Available |
Full Name | Dr Kenneth Max Richards |
---|---|
Gender | Male |
Speciality | Cardiac Surgery |
Experience | 42 Years |
Location | 1800 15th St, Greeley, 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 |
---|---|---|---|
1083689376 | NPI | - | NPPES |
68738030 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 31556 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Colorado Medical Center | Greeley, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Banner Health Physicians Colorado Llc | 8921273038 | 228 |
Entity Name | Banner Health Physicians Colorado Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073899134 PECOS PAC ID: 8921273038 Enrollment ID: O20111219000237 |
Entity Name | Banner Hospital Based Physicians Colorado Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821336769 PECOS PAC ID: 6800031386 Enrollment ID: O20130404000393 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth Max Richards, MD 1905 19th Ave, Greeley, CO 80631-5209 Ph: (970) 352-0405 | Dr Kenneth Max Richards, MD 1800 15th St, Suite 340, Greeley, CO 80631-4500 Ph: (970) 378-4593 |
Dr. Gene Edward Tullis, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 970-810-2026 Fax: 970-810-2028 | |
Dr. Maurice I Lyons, D.O. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1800 15th St, Suite 340, Greeley, CO 80631 Phone: 970-378-4593 Fax: 970-378-4591 |