Dr Pamela Bock, MD | |
50 Buck Creek Road, Suite 200, Avon, CO 81620 | |
(970) 926-6340 | |
(970) 926-6348 |
Full Name | Dr Pamela Bock |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 50 Buck Creek Road, Avon, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497708390 | NPI | - | NPPES |
4478498 | Medicaid | MI | |
87289831 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 36747 (Colorado) | Primary |
207VG0400X | Obstetrics & Gynecology - Gynecology | 4301052014 (Michigan) | Secondary |
Entity Name | Colorado Mountain Medical, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730747445 PECOS PAC ID: 5496087181 Enrollment ID: O20191030000595 |
Mailing Address | Practice Location Address |
---|---|
Dr Pamela Bock, MD Po Box 4330, Avon, CO 81620-4330 Ph: (970) 926-6340 | Dr Pamela Bock, MD 50 Buck Creek Road, Suite 200, Avon, CO 81620 Ph: (970) 926-6340 |
Keith Phillips Samuels, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 50 Buck Creek Road, Suite 200, Avon, CO 81620 Phone: 970-926-6340 Fax: 970-926-6348 | |
Dr. Cheryl Amy Kohn, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 50 Buck Creek Road, Suite 200, Avon, CO 81620 Phone: 970-926-6340 Fax: 970-926-6348 |