Dr Mark D Schane, MD | |
1925 W Mountain View Ave, Longmont, CO 80501-3128 | |
(303) 776-1234 | |
(720) 494-3107 |
Full Name | Dr Mark D Schane |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1925 W Mountain View Ave, Longmont, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467459636 | NPI | - | NPPES |
01341817 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 34181 (Colorado) | Primary |
Entity Name | Poudre Valley Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark D Schane, MD 1925 W Mountain View Ave, Longmont, CO 80501-3128 Ph: (303) 776-1234 | Dr Mark D Schane, MD 1925 W Mountain View Ave, Longmont, CO 80501-3128 Ph: (303) 776-1234 |
Michael R Martinez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2345 Bent Way, Longmont, CO 80503 Phone: 303-678-3237 Fax: 303-678-3225 | |
Dr. Katherine Dueber, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1925 W Mountain View Ave, Longmont, CO 80501 Phone: 303-776-1234 Fax: 720-494-3107 | |
Dr. Leah T Brown, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1925 Mountain View Ave, Longmont, CO 80501 Phone: 720-494-3133 Fax: 720-494-3187 | |
Dr. David T Fitzgerald, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1925 W Mountain View Ave, Longmont, CO 80501 Phone: 303-776-1234 Fax: 720-494-3107 | |
Dr. Colette Elise Fisher, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2345 Bent Way, Longmont, CO 80503 Phone: 303-338-4545 | |
Dr. Heather N Isaacson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1925 W Mountain View Ave, Longmont, CO 80501 Phone: 303-776-1234 Fax: 720-494-3107 |