Dr Susan Victoria Ellor, MD, PHD | |
1400 E Boulder St Ste 700, Colorado Springs, CO 80909-5533 | |
(719) 365-7300 | |
Not Available |
Full Name | Dr Susan Victoria Ellor |
---|---|
Gender | Female |
Speciality | Neurology |
Experience | 11 Years |
Location | 1400 E Boulder St Ste 700, Colorado Springs, Colorado |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730422809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | DR.0064760 (Colorado) | Primary |
2084N0400X | Psychiatry & Neurology - Neurology | ME137388 (Florida) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Uch-memorial Health System | Colorado springs, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Poudre Valley Medical Group Llc | 9638208549 | 1607 |
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 Susan Victoria Ellor, MD, PHD 3 Maryland Farms Ste 200, Brentwood, TN 37027-5005 Ph: (615) 345-5400 | Dr Susan Victoria Ellor, MD, PHD 1400 E Boulder St Ste 700, Colorado Springs, CO 80909-5533 Ph: (719) 365-7300 |
Justin Cheongsiatmoy, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 24 S Weber St Ste 200, Colorado Springs, CO 80903 Phone: 424-652-8506 | |
William B. Scholten, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 875 W. Moreno Ave., Colorado Springs, CO 80905 Phone: 719-572-6424 | |
Kevin K. Snyder, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1115 Elkton Dr Ste 300, Colorado Springs, CO 80907 Phone: 719-373-9703 Fax: 719-631-7017 | |
Dr. Laura Jane Elder, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4215 Stonehaven Dr, Colorado Springs, CO 80906 Phone: 972-816-7870 | |
Dr. Michelle Louise Raphael, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4110 Briargate Pkwy Ste 140, Colorado Springs, CO 80920 Phone: 719-365-7300 Fax: 719-365-7301 | |
William Tyler Stone, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1715 N Weber St, Suite 120, Colorado Springs, CO 80907 Phone: 719-722-4929 Fax: 719-358-9860 | |
Dr. Abdurahman Said Elkhetali, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St Ste 700, Colorado Springs, CO 80909 Phone: 719-365-7300 Fax: 719-365-7301 |