Justin J Tingey, MD | |
6767 29th St Fl 3, Greeley, CO 80634-5474 | |
(970) 652-2474 | |
(970) 652-2418 |
Full Name | Justin J Tingey |
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Gender | Male |
Speciality | Preventive Medicine - Occupational Medicine |
Location | 6767 29th St Fl 3, Greeley, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265427850 | NPI | - | NPPES |
9000210718 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083A0100X | Preventive Medicine - Aerospace Medicine | 01058329A (Indiana) | Secondary |
2083X0100X | Preventive Medicine - Occupational Medicine | DR.0068856 (Colorado) | Primary |
Entity Name | Poudre Valley Medical Group Llc |
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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 |
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Justin J Tingey, MD 6767 29th St Fl 3, Greeley, CO 80634-5474 Ph: (970) 652-2474 | Justin J Tingey, MD 6767 29th St Fl 3, Greeley, CO 80634-5474 Ph: (970) 652-2474 |
Dr. James Edward Rafferty, DO Preventive Medicine Medicare: Medicare Enrolled Practice Location: 1900 16th St, Greeley, CO 80631 Phone: 970-350-2471 Fax: 970-350-2418 | |
Dr. John Charbonneau, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 16th St, Greeley, CO 80631 Phone: 970-350-2471 Fax: 970-350-2418 |