Dr Matthew Ryan Herron, MD | |
1338 Phay Ave, Canon City, CO 81212-2302 | |
(419) 350-7755 | |
Not Available |
Full Name | Dr Matthew Ryan Herron |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1338 Phay Ave, Canon City, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275783722 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MT189327 (Pennsylvania) | Secondary |
207P00000X | Emergency Medicine | 47886 (Colorado) | Primary |
Entity Name | Riverside Physician Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400 |
Mailing Address | Practice Location Address |
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Dr Matthew Ryan Herron, MD 5420 Backglen Dr, Colorado Springs, CO 80906-8600 Ph: (419) 350-7755 | Dr Matthew Ryan Herron, MD 1338 Phay Ave, Canon City, CO 81212-2302 Ph: (419) 350-7755 |
Dr. Alec Douglas Bower, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1338 Phay Ave, Canon City, CO 81212 Phone: 719-285-2000 | |
Robert D. Lins Jr., D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: St Thomas More Hospital, 1338 Phay Ave, Canon City, CO 81212 Phone: 719-285-2270 | |
George D Yang, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 147 Mourning Dove Dr, Canon City, CO 81212 Phone: 303-918-9186 | |
William Shaun Gogarty, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3225 Independence Rd, Canon City, CO 81212 Phone: 719-275-2351 Fax: 719-269-9386 |