Dr Michael T Randle, MD | |
1900 16th St, Greeley, CO 80631-5114 | |
(970) 350-2438 | |
(970) 350-2473 |
Full Name | Dr Michael T Randle |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1900 16th St, Greeley, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124006853 | NPI | - | NPPES |
50483579 | Medicaid | CO | |
P00944796 | Other | CO | MEDICARE RAILROAD CARRIER PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 39374 (Colorado) | Primary |
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 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael T Randle, MD 1900 16th St, Greeley, CO 80631-5114 Ph: (970) 350-2438 | Dr Michael T Randle, MD 1900 16th St, Greeley, CO 80631-5114 Ph: (970) 350-2438 |
Dr. John Paul Berger, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6767 29th St Fl 2, Greeley, CO 80634 Phone: 970-624-2414 Fax: 970-490-4155 | |
Dr. Sheldon Gregory Stadnyk, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 970-350-6002 | |
Dr. Veronika Panah, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2010 16th St Ste A, Greeley, CO 80631 Phone: 970-810-4475 | |
Dr. Steven O Kading, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 16th St, Greeley, CO 80631 Phone: 970-350-2740 Fax: 970-352-3719 | |
Dr. Brian J Daily, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6767 29th St, Greeley, CO 80634 Phone: 970-652-2000 | |
Dr. Bryan Paul Mcvay, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6767 29th St Fl 2, Greeley, CO 80634 Phone: 970-224-9102 | |
Dr. Jimmy Giang, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8225 W 20th St, Greeley, CO 80634 Phone: 970-378-1414 |