Jonathan Clark, | |
1 Mercado St, Suite 100, Durango, CO 81301-7306 | |
(970) 385-4746 | |
(970) 259-5787 |
Full Name | Jonathan Clark |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 16 Years |
Location | 1 Mercado St, Durango, 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 |
---|---|---|---|
1548497407 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 52225 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Enloe Medical Center | Chico, CA | Hospital |
Oroville Hospital | Oroville, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Enloe Specialty Physicians, Inc | 7416111893 | 24 |
Entity Name | Enloe Specialty Physicians, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306105721 PECOS PAC ID: 7416111893 Enrollment ID: O20120614000789 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Clark, 1 Mercado St, Suite 100, Durango, CO 81301-7306 Ph: (970) 385-4746 | Jonathan Clark, 1 Mercado St, Suite 100, Durango, CO 81301-7306 Ph: (970) 385-4746 |
Jonathan H Delacey, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1010 Three Springs Blvd, Durango, CO 81301 Phone: 970-764-2286 | |
Dr. Brock Baker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Mercado St Ste 100cc, Durango, CO 81301 Phone: 970-385-4746 Fax: 970-259-5787 | |
Jennifer Blumoff Reed, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 106 Clear Creek Loop, Durango, CO 81301 Phone: 970-382-9228 | |
Patrick Messerli, MD Radiology Medicare: Medicare Enrolled Practice Location: 1010 Three Springs Blvd, Durango, CO 81301 Phone: 970-764-2286 | |
Dr. Douglas A Kelly, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Mercado St Ste 100, Durango, CO 81301 Phone: 970-385-4746 Fax: 970-259-5787 | |
Dr. Jay C Johnson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1010 Three Springs Blvd, Durango, CO 81301 Phone: 970-259-2525 |