Dr Robert R Nystrom, DO | |
1900 16th St, Greeley, CO 80631-5114 | |
(970) 350-2471 | |
(970) 350-2418 |
Full Name | Dr Robert R Nystrom |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 35 Years |
Location | 1900 16th St, Greeley, 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 |
---|---|---|---|
1902936107 | NPI | - | NPPES |
1304641 | Medicaid | CO | |
P00931173 | Other | CO | MEDICARE RAILROAD CARRIER PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 30464 (Colorado) | Secondary |
208D00000X | General Practice | 30464 (Colorado) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Banner Urgent Care Colorado | 7214295989 | 22 |
Entity Name | Banner Urgent Care Colorado |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902316995 PECOS PAC ID: 7214295989 Enrollment ID: O20171229002034 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert R Nystrom, DO 1900 16th St, Greeley, CO 80631-5114 Ph: (970) 350-2471 | Dr Robert R Nystrom, DO 1900 16th St, Greeley, CO 80631-5114 Ph: (970) 350-2471 |
Dr. Angela Marie Mills, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 970-481-0170 Fax: 970-481-0170 | |
Dr. Oscar Levern Sanders Ii, General Practice Medicare: Medicare Enrolled Practice Location: 6767 W 29th Street, Greeley, CO 80634 Phone: 970-652-2474 Fax: 970-652-2418 | |
Dr. Thomas J Lynch, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 1900 16th St, Greeley, CO 80631 Phone: 970-350-2471 Fax: 970-350-2418 | |
Dr. Leslie A Leppla, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 900 14th St, Greeley, CO 80631 Phone: 970-356-3993 |