Patrick Shahan, MD | |
550 Highway 105, Monument, CO 80132-9125 | |
(719) 488-9860 | |
(719) 488-9868 |
Full Name | Patrick Shahan |
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Gender | Male |
Speciality | Family Medicine |
Location | 550 Highway 105, Monument, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396785374 | NPI | - | NPPES |
01284694 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 28469 (California) | Primary |
Entity Name | Mountain View Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528510302 PECOS PAC ID: 0345521381 Enrollment ID: O20170105000266 |
Mailing Address | Practice Location Address |
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Patrick Shahan, MD 550 Highway 105, Monument, CO 80132-9125 Ph: (719) 488-9860 | Patrick Shahan, MD 550 Highway 105, Monument, CO 80132-9125 Ph: (719) 488-9860 |
Alexis Chryse Michopoulos, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17230 Jackson Creek Pkwy, Ste 300, Monument, CO 80132 Phone: 719-571-7000 Fax: 719-571-7059 | |
Joshua Jewell, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15854 Jackson Creek Pkwy Unit 120, Monument, CO 80132 Phone: 719-364-9930 Fax: 719-364-9939 | |
Ryan Douglas Johnson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1840 Woodmoor Dr Ste 102, Monument, CO 80132 Phone: 719-622-6522 Fax: 719-622-6520 | |
Dr. Dara D Lowe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17230 Jackson Creek Pkwy, Monument, CO 80132 Phone: 719-571-7000 Fax: 719-571-7059 | |
Michael James Oneill, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 Beacon Lite Rd, Monument, CO 80132 Phone: 719-419-7490 Fax: 719-309-6847 | |
Kristin Scott, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17230 Jackson Creek Pkwy, Suite 300, Monument, CO 80132 Phone: 719-571-7000 | |
Michael Torres, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 15954 Jackson Creek Pkwy # B244, Monument, CO 80132 Phone: 719-930-9515 |