Gabriel Estes Green, | |
1024 S Lemay Ave, Fort Collins, CO 80524-3929 | |
(303) 306-7783 | |
(303) 306-7753 |
Full Name | Gabriel Estes Green |
---|---|
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 |
---|---|---|---|
1891919296 | NPI | - | NPPES |
125149000 | Medicaid | WY | |
98279246 | Medicaid | CO | |
P00626871 | Other | CO | RAILROAD MEDICARE |
S5008 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036.117244 (Illinois) | Secondary |
207P00000X | Emergency Medicine | 45414 (Colorado) | Primary |
207P00000X | Emergency Medicine | 7812A (Wyoming) | Secondary |
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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Gabriel Estes Green, Po Box 912215, Denver, CO 80291-2215 Ph: (303) 306-7783 | Gabriel Estes Green, 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 |