Dr Robert L Pedersen, MD | |
5881 W 16th St, Greeley, CO 80634-2910 | |
(970) 313-2700 | |
(970) 313-2727 |
Full Name | Dr Robert L Pedersen |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 5881 W 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 |
---|---|---|---|
1831178078 | NPI | - | NPPES |
P00944893 | Other | CO | MEDICARE RAILROAD CARRIER PTAN |
88007821 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 44175 (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 Robert L Pedersen, MD 5881 W 16th St, Greeley, CO 80634-2910 Ph: (970) 313-2700 | Dr Robert L Pedersen, MD 5881 W 16th St, Greeley, CO 80634-2910 Ph: (970) 313-2700 |
Ashley Przybilla, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 N 11th Ave, Greeley, CO 80631 Phone: 970-352-8898 | |
Meghan Ann Croteau Fels, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 6801 W 20th St, Suite 201, Greeley, CO 80634 Phone: 970-350-5828 Fax: 970-810-4210 | |
Dr. Amy Barbara Driscoll, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5881 W 16th St, Greeley, CO 80634 Phone: 970-313-2700 Fax: 970-313-2727 | |
Karen Gelfand, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1610 29th Avenue Pl Ste 101, Greeley, CO 80634 Phone: 970-356-2600 Fax: 970-356-2633 | |
Emily Grace Allwein, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2429 35th Ave, Greeley, CO 80634 Phone: 970-207-7171 | |
Dr. M Meshelle Kolanz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5881 W 16th St, Greeley, CO 80634 Phone: 970-313-2700 Fax: 970-313-2727 | |
Dr. Iwona R Filipowska, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 N 11th Ave, Greeley, CO 80631 Phone: 970-352-8898 Fax: 970-351-7075 |