Jared G Clay, MD | |
4102 Pinion Dr, 10 Mdg, Usaf Academy, CO 80840-2502 | |
(719) 333-5138 | |
(719) 333-5836 |
Full Name | Jared G Clay |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 20 Years |
Location | 4102 Pinion Dr, Usaf Academy, 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 |
---|---|---|---|
1295719268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | A94014 (California) | Secondary |
208600000X | Surgery | DR-52995 (Colorado) | Primary |
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 |
---|---|
Jared G Clay, MD 4102 Pinion Dr, 10 Mdg, Usaf Academy, CO 80840-2502 Ph: (719) 333-5138 | Jared G Clay, MD 4102 Pinion Dr, 10 Mdg, Usaf Academy, CO 80840-2502 Ph: (719) 333-5138 |
David Marc Northern, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4102 Pinion Dr, Usaf Academy, CO 80840 Phone: 719-333-5140 | |
Dr. Stacy Ann Shackelford, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4102 Pinion Dr, Usaf Academy, CO 80840 Phone: 719-333-5140 | |
Michelle Buehner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4102 Pinion Drive, 10th Medical Group, Usaf Academy, CO 80840 Phone: 719-333-5140 | |
Andrea Blake, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 4102 Pinion Dr, General Surgery, Usaf Academy, CO 80840 Phone: 719-333-5140 Fax: 719-333-5836 |