Suzanne Lange, MD | |
3843 Rio Vista Dr Ste 2300, Colorado Springs, CO 80917-3380 | |
(719) 365-3700 | |
(719) 365-3701 |
Full Name | Suzanne Lange |
---|---|
Gender | Female |
Speciality | Urology |
Location | 3843 Rio Vista Dr Ste 2300, Colorado Springs, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790216828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | DR.0072954 (Colorado) | Primary |
208800000X | Urology | 10964181-1205 (Utah) | Secondary |
208800000X | Urology | T8250 (Texas) | Secondary |
Entity Name | Physicians Referral Service |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073574810 PECOS PAC ID: 7911801410 Enrollment ID: O20031125000953 |
Mailing Address | Practice Location Address |
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Suzanne Lange, MD 2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071 Ph: (970) 624-4034 | Suzanne Lange, MD 3843 Rio Vista Dr Ste 2300, Colorado Springs, CO 80917-3380 Ph: (719) 365-3700 |
Patrick O Faricy, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 75 Printers Pkwy, Colorado Springs, CO 80910 Phone: 719-634-1994 Fax: 719-634-2906 | |
Dr. Gannon Lee Curtis, MD Urology Medicare: Medicare Enrolled Practice Location: 175 S Union Blvd Ste 315, Colorado Springs, CO 80910 Phone: 719-365-3700 | |
Dr. Gary William Bong, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 6071 E Woodmen Rd, Suite 300, Colorado Springs, CO 80923 Phone: 719-531-7007 Fax: 719-531-7122 | |
Dr. Eric Donald Biewenga, M.D. Urology Medicare: Medicare Enrolled Practice Location: 3843 Rio Vista Dr Ste 2300, Colorado Springs, CO 80917 Phone: 719-365-3700 Fax: 719-365-3701 | |
Dakota Jordan, PA-C Urology Medicare: Accepting Medicare Assignments Practice Location: 175 S Union Blvd Ste 315, Colorado Springs, CO 80910 Phone: 719-365-3700 | |
Dr. Thomas Constantine Lowrey, MD Urology Medicare: Medicare Enrolled Practice Location: 6071 E Woodmen Rd Ste 300, Colorado Springs, CO 80923 Phone: 719-531-7007 Fax: 719-531-7122 | |
Dr. Molly E Williams, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 175 S Union Blvd Ste 315, Colorado Springs, CO 80910 Phone: 719-365-3700 Fax: 719-365-3701 |