Dr Laura C Kissell, MD | |
1400 E Boulder St Ste 600, Colorado Springs, CO 80909-5533 | |
(719) 364-6487 | |
(719) 364-8347 |
Full Name | Dr Laura C Kissell |
---|---|
Gender | Female |
Speciality | Vascular Surgery |
Experience | 25 Years |
Location | 1400 E Boulder St Ste 600, Colorado Springs, 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 |
---|---|---|---|
1730130337 | NPI | - | NPPES |
COA109844 | Other | CO | MEDICARE INDIVIDUAL PTAN |
200400694 | Other | NC | PHYSICIAN LICENSE |
44538 | Other | CO | PHYSICIAN LICENSE |
805636 | Other | MEDICARE ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 44538 (Colorado) | Primary |
2086S0129X | Surgery - Vascular Surgery | 200400694 (North Carolina) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Uch-memorial Health System | Colorado springs, CO | Hospital |
Uchealth Pikes Peak Regional Hospital | Woodland park, 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 |
Entity Name | Uchealth Imaging Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396210902 PECOS PAC ID: 5799021291 Enrollment ID: O20190103002022 |
Mailing Address | Practice Location Address |
---|---|
Dr Laura C Kissell, MD 2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071 Ph: () - | Dr Laura C Kissell, MD 1400 E Boulder St Ste 600, Colorado Springs, CO 80909-5533 Ph: (719) 364-6487 |
Dr. Larry D Dillon, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1715 N Weber St, Ste 330, Colorado Springs, CO 80907 Phone: 719-473-7400 Fax: 719-473-7408 | |
Khurram Ahmad Khan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1633 Medical Center Point, Colorado Springs, CO 80907 Phone: 719-475-9800 Fax: 719-473-5436 | |
Thomas J. Schroeppel, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St, Suite 600, Colorado Springs, CO 80909 Phone: 719-364-6487 Fax: 719-364-6488 | |
Dr. Amilu Rothhammer, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1633 Medical Center Pt, Colorado Springs, CO 80907 Phone: 719-475-9800 | |
Dr. Lisa Lynn Schlitzkus, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St Ste 500, Colorado Springs, CO 80909 Phone: 719-364-6487 | |
Gregory Carlson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St, Suite 600, Colorado Springs, CO 80909 Phone: 719-365-6487 Fax: 719-364-6488 | |
Dr. John Lindley Frerichs, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 4925 N Nevada Ave, Room 416, Colorado Springs, CO 80918 Phone: 719-425-0933 |