Dr Richard Thomas Ethridge, MD | |
1100 Poudre River Dr Unit A, Fort Collins, CO 80524-3557 | |
(970) 484-6303 | |
(704) 843-0369 |
Full Name | Dr Richard Thomas Ethridge |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 21 Years |
Location | 1100 Poudre River Dr Unit A, Fort Collins, 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 |
---|---|---|---|
1013108299 | NPI | - | NPPES |
768289543 | Other | MYUTMB 768289543 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | DR.0063642 (Colorado) | Primary |
2086S0122X | Surgery - Plastic And Reconstructive Surgery | M5152 (Texas) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Dermatology Of Colorado Pc | 8325337330 | 52 |
Entity Name | Advanced Dermatology Of Colorado Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710370648 PECOS PAC ID: 8325337330 Enrollment ID: O20160516000185 |
Mailing Address | Practice Location Address |
---|---|
Dr Richard Thomas Ethridge, MD 151 Southhall Ln Ste 300, Maitland, FL 32751-7172 Ph: (970) 484-6303 | Dr Richard Thomas Ethridge, MD 1100 Poudre River Dr Unit A, Fort Collins, CO 80524-3557 Ph: (970) 484-6303 |
Dr. John A Collins, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2121 E Harmony Rd, Ste 330, Fort Collins, CO 80528 Phone: 970-221-5878 Fax: 970-221-3564 | |
Dr. John Marshall Hunter, M. D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2315 E Harmony Rd, Suite 130, Fort Collins, CO 80528 Phone: 970-221-5878 Fax: 970-221-3564 | |
Steven Lewis Kaufman, MD, PHD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1136 East Stuart St., Suite 4102, Fort Collins, CO 80525 Phone: 970-498-8346 Fax: 970-419-8346 | |
Thomas G Chiavetta, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2121 E Harmony Rd, Suite 250, Fort Collins, CO 80528 Phone: 970-482-6456 Fax: 970-482-3921 | |
Dr. Nathan Paul Narasimhan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2315 E Harmony Rd Ste 160, Fort Collins, CO 80528 Phone: 970-493-8800 Fax: 970-498-8800 | |
Dr. Heather Lynn Lewis, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2121 E Harmony Rd Unit 330, Fort Collins, CO 80528 Phone: 970-221-5878 Fax: 970-221-3564 |