Mark S Faszholz, MD | |
1801 16th St, Greeley, CO 80631-5154 | |
(970) 350-4819 | |
Not Available |
Full Name | Mark S Faszholz |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 42 Years |
Location | 1801 16th St, Greeley, 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 |
---|---|---|---|
1982683744 | NPI | - | NPPES |
202748166 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 36370 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mckee Medical Center | Loveland, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rocky Mountain State Anesthesia Providers | 8729349444 | 46 |
Entity Name | Banner Health Physicians Colorado Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073899134 PECOS PAC ID: 8921273038 Enrollment ID: O20111219000237 |
Entity Name | Rocky Mountain State Anesthesia Providers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730692054 PECOS PAC ID: 8729349444 Enrollment ID: O20180220003107 |
Mailing Address | Practice Location Address |
---|---|
Mark S Faszholz, MD 1801 16th St, Greeley, CO 80631-5154 Ph: (970) 350-4819 | Mark S Faszholz, MD 1801 16th St, Greeley, CO 80631-5154 Ph: (970) 350-4819 |
Mrs. Jan Gillespie-wagner, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1175 58th Ave, Ste 200, Greeley, CO 80634 Phone: 970-495-0444 Fax: 970-488-3106 | |
Dr. Alan J Merkow, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1175 58th Ave, Ste 202, Greeley, CO 80634 Phone: 970-495-0300 Fax: 970-224-9624 | |
Vicki Callahan, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1801 16th Street, North Colorado Medical Center, Greeley, CO 80631 Phone: 970-810-4969 | |
Dr. Callana Fox, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 970-810-4121 | |
Dr. Jonathan Grant Lord, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 970-352-4121 Fax: 970-515-6576 | |
Kenyon S Morrow, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2000 70th Ave, Greeley, CO 80634 Phone: 970-506-6789 | |
Dr. Chloe Melissa Mcculloch, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2410 W 16th St, Greeley, CO 80634 Phone: 970-810-6167 |