Erik Lars Hermstad, | |
1024 S Lemay Ave, Fort Collins, CO 80524-3929 | |
(303) 306-7783 | |
(303) 306-7753 |
Full Name | Erik Lars Hermstad |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1024 S Lemay Ave, Fort Collins, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164598629 | NPI | - | NPPES |
11828862 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 01062368A (Indiana) | Secondary |
207P00000X | Emergency Medicine | M8035 (Texas) | Secondary |
207P00000X | Emergency Medicine | 49577 (Colorado) | Primary |
Entity Name | Emergency Physicians Of The Rockies, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174570717 PECOS PAC ID: 0345232492 Enrollment ID: O20040401001494 |
Mailing Address | Practice Location Address |
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Erik Lars Hermstad, Po Box 912215, Denver, CO 80291-2215 Ph: (303) 306-7783 | Erik Lars Hermstad, 1024 S Lemay Ave, Fort Collins, CO 80524-3929 Ph: (303) 306-7783 |
Keasha Nohelani Kuhnen, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 303-306-7783 Fax: 303-306-7753 | |
Alexa L Toth, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1025 Pennock Place, Suite 121, Fort Collins, CO 80524 Phone: 970-495-8800 Fax: 970-495-8820 | |
Thomas John Fralich, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 303-306-7783 Fax: 303-306-7753 | |
Tyler Creighton Vaughn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-495-7000 Fax: 303-306-7753 | |
Jeremy Salsberg, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-495-7000 Fax: 970-495-7611 | |
Devin A. Rickett, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-495-7000 Fax: 303-306-7753 | |
Shelley W. Moore, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3519 Richmond Dr, Fort Collins, CO 80526 Phone: 970-204-0300 Fax: 970-221-5206 |