Dr Michael Ray Gummow, MD | |
3225 Independence Rd, Canon City, CO 81212-9380 | |
(719) 275-2351 | |
Not Available |
Full Name | Dr Michael Ray Gummow |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 20 Years |
Location | 3225 Independence Rd, Canon City, Colorado |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285792374 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | R-7895 (Iowa) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 48133 (Colorado) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West Central Mental Health Center, Inc | 0042102733 | 11 |
Entity Name | West Central Mental Health Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265565824 PECOS PAC ID: 0042102733 Enrollment ID: O20040326001311 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Ray Gummow, MD 3225 Independence Rd, Canon City, CO 81212-9380 Ph: (719) 275-2351 | Dr Michael Ray Gummow, MD 3225 Independence Rd, Canon City, CO 81212-9380 Ph: (719) 275-2351 |
Dr. Alisabeth A. Thurston-hicks, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3225 Independence Rd, Canon City, CO 81212 Phone: 719-275-2351 Fax: 719-269-9386 | |
Dr. Mark Wayne Diamond, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3225 Independence Rd, Canon City, CO 81212 Phone: 719-275-2351 Fax: 719-269-9386 | |
Dr. Robert E Tonsing, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 3225 Independence Rd, Canon City, CO 81212 Phone: 719-275-2351 Fax: 719-269-9386 |