Dr Trevin J Cardon, DO | |
1000 Lincoln St, Fort Morgan, CO 80701-3290 | |
(970) 867-3391 | |
Not Available |
Full Name | Dr Trevin J Cardon |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 6 Years |
Location | 1000 Lincoln St, Fort Morgan, 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 |
---|---|---|---|
1720584246 | NPI | - | NPPES |
9000162665 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | DR.0063055 (Colorado) | Primary |
207Q00000X | Family Medicine | DR.0063055 (Colorado) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Colorado Plains Medical Center | Fort morgan, CO | Hospital |
Poudre Valley Hospital | Fort collins, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Poudre Valley Health Care Inc | 7618880709 | 87 |
Catholic Health Initiatives Colorado | 8022927342 | 972 |
Entity Name | Poudre Valley Health Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760492714 PECOS PAC ID: 7618880709 Enrollment ID: O20031105000791 |
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 |
Entity Name | Colorado Plains Physician Practices Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821042409 PECOS PAC ID: 4082628706 Enrollment ID: O20060202000338 |
Entity Name | Portercare Adventist Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760761928 PECOS PAC ID: 0941110886 Enrollment ID: O20090115000327 |
Mailing Address | Practice Location Address |
---|---|
Dr Trevin J Cardon, DO Po Box 800022 1025 Pennock Place, Kansas City, MO 64180-0001 Ph: (800) 953-0104 | Dr Trevin J Cardon, DO 1000 Lincoln St, Fort Morgan, CO 80701-3290 Ph: (970) 867-3391 |