Kent A Petrie, MD | |
320 Beard Creek Rd Ste 200, Edwards, CO 81632-6426 | |
(970) 945-2840 | |
(970) 945-2893 |
Full Name | Kent A Petrie |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 320 Beard Creek Rd Ste 200, Edwards, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265402283 | NPI | - | NPPES |
9000104567 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 22520 (Colorado) | Primary |
Entity Name | Vail Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992812333 PECOS PAC ID: 3577475714 Enrollment ID: O20031105000224 |
Entity Name | Catholic Health Initiatives Colorado |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
Mailing Address | Practice Location Address |
---|---|
Kent A Petrie, MD 2700 Gilstrap Ct, Suite 230, Glenwood Springs, CO 81601-8735 Ph: (970) 945-2840 | Kent A Petrie, MD 320 Beard Creek Rd Ste 200, Edwards, CO 81632-6426 Ph: (970) 945-2840 |
Dr. Zackary Jacob Kent, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 Beard Creek Rd, Edwards, CO 81632 Phone: 970-945-2840 Fax: 970-945-1055 | |
Joshua Steven Rusk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 Beard Creek Rd, Edwards, CO 81632 Phone: 970-945-2840 Fax: 970-945-2893 | |
Philip Ellis Freedman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 141 Snaffle Rd., Edwards, CO 81632 Phone: 970-926-0314 Fax: 970-926-3214 |