Orlando R Deherrera, DO | |
103 Chico Ct, Monte Vista, CO 81144-1065 | |
(719) 852-9400 | |
(719) 852-9311 |
Full Name | Orlando R Deherrera |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 103 Chico Ct, Monte Vista, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548323348 | NPI | - | NPPES |
8U8523 | Other | TX | BCBS |
P00200133 | Other | TX | RAILROAD PROVIDER NUMBER |
8K5235 | Other | TX | PROVIDER BCBS NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | L1830 (Texas) | Primary |
Entity Name | Lutheran Hospital Association Of The San Luis Valley |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235181744 PECOS PAC ID: 4789589094 Enrollment ID: O20031201000318 |
Entity Name | Valley Citizens' Foundation For Health Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396783981 PECOS PAC ID: 7517951536 Enrollment ID: O20040413000548 |
Entity Name | Valley Citizens' Foundation For Health Care Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1396783981 PECOS PAC ID: 7517951536 Enrollment ID: O20071219000231 |
Entity Name | Valley Citizens' Foundation For Health Care Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1720181225 PECOS PAC ID: 7517951536 Enrollment ID: O20071219000589 |
Mailing Address | Practice Location Address |
---|---|
Orlando R Deherrera, DO 103 Chico Ct, Monte Vista, CO 81144-1065 Ph: (719) 852-9400 | Orlando R Deherrera, DO 103 Chico Ct, Monte Vista, CO 81144-1065 Ph: (719) 852-9400 |
Dr. Tarah Leanne Castleberry, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1033 2nd Ave, Monte Vista, CO 81144 Phone: 719-852-8827 Fax: 719-852-2739 | |
Dr. Susannah Reed Cary, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 Chico Ct, Monte Vista, CO 81144 Phone: 719-852-9400 |