Lori Wertheimer, MD | |
192 Front St, Monument, CO 80132-6738 | |
(719) 488-6998 | |
(719) 488-8270 |
Full Name | Lori Wertheimer |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 192 Front St, Monument, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972543965 | NPI | - | NPPES |
01310671 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 31067 (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 |
Entity Name | Optumcare Colorado Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407252828 PECOS PAC ID: 2769706431 Enrollment ID: O20150129000413 |
Entity Name | Mountain View Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528510302 PECOS PAC ID: 0345521381 Enrollment ID: O20170105000266 |
Mailing Address | Practice Location Address |
---|---|
Lori Wertheimer, MD 192 Front St, Monument, CO 80132-6738 Ph: (719) 488-6998 | Lori Wertheimer, MD 192 Front St, Monument, CO 80132-6738 Ph: (719) 488-6998 |
Kirsten Ruth Martinson Nelson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 17580 Colonial Park Dr, Monument, CO 80132 Phone: 719-487-0617 | |
Laura Dobbs Carson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 17230 Jackson Creek Pkwy Monument Pediatrics, Suite #260, Monument, CO 80132 Phone: 719-488-6998 Fax: 719-488-8270 | |
Dr. Michael Halenkamp, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Po Box 544, Monument, CO 80132 Phone: 719-522-1134 Fax: 719-268-2819 | |
Dr. Kathleen S Foote, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15909 Jackson Creek Pkwy, Monument, CO 80132 Phone: 719-488-6998 | |
Dr. Diana Michaela Tapay, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15909 Jackson Creek Pkwy, Monument, CO 80132 Phone: 719-488-6998 |