Dr Thomas C Coburn, MD | |
214 S. 4th Street, Kremmling, CO 80459-0399 | |
(970) 887-5800 | |
Not Available |
Full Name | Dr Thomas C Coburn |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 35 Years |
Location | 214 S. 4th Street, Kremmling, 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 |
---|---|---|---|
1073562237 | NPI | - | NPPES |
01360577 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 36057 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Middle Park Medical Center | Kremmling, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kremmling Memorial Hospital District | 7517871544 | 31 |
Entity Name | Kremmling Memorial Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619962321 PECOS PAC ID: 7517871544 Enrollment ID: O20040312001110 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas C Coburn, MD 4795 Larimer Parkway, Johnstown, CO 80534-9021 Ph: (970) 669-8881 | Dr Thomas C Coburn, MD 214 S. 4th Street, Kremmling, CO 80459-0399 Ph: (970) 887-5800 |
Dr. Mark Andrew Wisner, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 214 South 4th Street, Kremmling, CO 80459 Phone: 970-887-5800 | |
Michelle Lee Lupica, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 214 South 4th Street, Kremmling, CO 80459 Phone: 970-724-3442 Fax: 970-724-9606 | |
Frank Shane Tong Jr., D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 214 S. 4th St, Kremmling, CO 80459 Phone: 970-724-3176 Fax: 970-724-9606 | |
Todd Odegaard, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 214 South 4th Street, Kremmling, CO 80459 Phone: 970-887-5800 | |
Michael Wayne France, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 214 South 4th Street, Kremmling, CO 80459 Phone: 970-724-3442 Fax: 970-724-9606 | |
Dr. Meghan Rochelle Mont, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 214 South 4th Street, Kremmling, CO 80459 Phone: 970-887-1216 Fax: 970-887-1820 |