Elsie Haynes, DO | |
902 Lakeview Ave, Pueblo, CO 81004-3597 | |
(719) 557-5855 | |
(719) 557-4780 |
Full Name | Elsie Haynes |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 8 Years |
Location | 902 Lakeview Ave, Pueblo, Colorado |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538519384 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | TL.0006257 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Minneola District Hospital | Minneola, KS | Hospital |
St Mary Corwin Med Ctr, Centura Health | Pueblo, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Minneola District Hospital Nbr 2 | 1355252545 | 14 |
Trifecta Family Wellness Llc | 8527429828 | 2 |
Entity Name | Trifecta Family Wellness Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215667936 PECOS PAC ID: 8527429828 Enrollment ID: O20230803000196 |
Mailing Address | Practice Location Address |
---|---|
Elsie Haynes, DO 902 Lakeview Ave, Pueblo, CO 81004-3597 Ph: (719) 557-5855 | Elsie Haynes, DO 902 Lakeview Ave, Pueblo, CO 81004-3597 Ph: (719) 557-5855 |
Dr. Camila Teresa Robles, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5872 | |
Dr. Queenter Kisang, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3676 Parker Blvd, Pueblo, CO 81008 Phone: 719-553-1804 Fax: 833-916-2047 | |
Steven Nafziger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1619 N Greenwood St, Suite 204, Pueblo, CO 81003 Phone: 719-544-1551 Fax: 719-544-1493 | |
Dr. Dana G Riley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Colorado Ave, Pueblo, CO 81004 Phone: 719-543-8711 Fax: 719-543-5340 | |
Dr. Terry Liefde, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5855 Fax: 719-557-5097 | |
Spencer Bruce Hegerhorst, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5872 Fax: 719-557-4780 | |
Dr. Scott Alan Deruiter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 109 S Burlington Dr, Pueblo, CO 81007 Phone: 719-553-2205 Fax: 833-314-0183 |