Dr Randy Davidson, MD | |
1311 N Mildred Rd, Cortez, CO 81321 | |
(970) 565-6666 | |
Not Available |
Full Name | Dr Randy Davidson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 44 Years |
Location | 1311 N Mildred Rd, Cortez, Colorado |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922074624 | NPI | - | NPPES |
48882275 | Medicaid | CO | |
100146130B | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 04-19213 (Kansas) | Secondary |
207P00000X | Emergency Medicine | DR.0053307 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southwest Memorial Hospital | Cortez, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southwest Health System Inc | 5890699326 | 42 |
Entity Name | Southwest Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649241571 PECOS PAC ID: 5890699326 Enrollment ID: O20031125000607 |
Mailing Address | Practice Location Address |
---|---|
Dr Randy Davidson, MD 1311 N Mildred Rd, Cortez, CO 81321-2231 Ph: (970) 564-2152 | Dr Randy Davidson, MD 1311 N Mildred Rd, Cortez, CO 81321 Ph: (970) 565-6666 |
Dr. Todd R Fowler, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-565-6666 | |
Jennifer Ann Gero, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-564-2152 | |
Dr. David Buckwalter, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-565-6666 | |
Sean Philip Rooks, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-565-6666 | |
Dr. Matthew R Kamper, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-565-6666 | |
Kenton Lee Asche, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-565-6666 Fax: 970-564-2155 | |
Balaji Srinivas, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-565-6666 |