Mr David R Reitter, MD | |
410 Benedicta Ave, Trinidad, CO 81082-2005 | |
(719) 846-9213 | |
(719) 846-2752 |
Full Name | Mr David R Reitter |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 410 Benedicta Ave, Trinidad, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639156177 | NPI | - | NPPES |
091094500 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | DR.50480 (Colorado) | Secondary |
208600000X | Surgery | 44809 (Minnesota) | Primary |
Entity Name | Trinidad Area Health Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467400309 PECOS PAC ID: 2769394055 Enrollment ID: O20031111000178 |
Mailing Address | Practice Location Address |
---|---|
Mr David R Reitter, MD 410 Benedicta Ave, Trinidad, CO 81082-2005 Ph: (719) 846-9213 | Mr David R Reitter, MD 410 Benedicta Ave, Trinidad, CO 81082-2005 Ph: (719) 846-9213 |
Dr. James Andrew Conrad, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 410 Benedicta Ave, Trinidad, CO 81082 Phone: 719-846-9213 Fax: 719-846-7823 | |
Charles Francis Yeagle Iii, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 400 Benedicta Ave, Suite F, Trinidad, CO 81082 Phone: 719-846-1700 Fax: 719-846-1704 |