Lisa R Ponfick, MD | |
4856 Innovation Dr, Fort Collins, CO 80525-5539 | |
(970) 494-4200 | |
(970) 613-4475 |
Full Name | Lisa R Ponfick |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 4856 Innovation Dr, 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 |
---|---|---|---|
1962416255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | DR.0071115 (Colorado) | Primary |
Entity Name | Summitstone Health Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821552738 PECOS PAC ID: 4284527144 Enrollment ID: O20040204000768 |
Mailing Address | Practice Location Address |
---|---|
Lisa R Ponfick, MD 4856 Innovation Dr, Fort Collins, CO 80525-5539 Ph: (970) 494-4200 | Lisa R Ponfick, MD 4856 Innovation Dr, Fort Collins, CO 80525-5539 Ph: (970) 494-4200 |
Nora Feldpausch, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5525 Trail Pt, Fort Collins, CO 80524 Phone: 989-640-1063 | |
Dr. Jillian Leigh Busch, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4601 Corbett Dr, Fort Collins, CO 80528 Phone: 970-207-4857 Fax: 970-207-4885 | |
Dr. Brian Lee Kaiser, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1106 E Prospect Rd, Suite 100, Fort Collins, CO 80525 Phone: 970-482-4373 Fax: 970-484-5682 | |
Zeljko M Ivanovic, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 120 Bristlecone Dr, Fort Collins, CO 80524 Phone: 970-224-5209 | |
Dr. Kathleen P Whitley, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4856 Innovation Dr Ste B, Fort Collins, CO 80525 Phone: 970-494-4200 | |
Donald A Golen, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2315 E Harmony Rd Ste 110, Fort Collins, CO 80528 Phone: 970-482-4373 Fax: 970-484-5682 | |
Janice Hanlon-toth, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4856 Innovation Dr, Fort Collins, CO 80525 Phone: 970-494-4200 Fax: 970-613-4475 |