Robert Peteris Vickerman, MD | |
1800 15th St, Suite 210, Greeley, CO 80631-4500 | |
(970) 352-8216 | |
(970) 352-5297 |
Full Name | Robert Peteris Vickerman |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 29 Years |
Location | 1800 15th St, Greeley, 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 |
---|---|---|---|
1023085511 | NPI | - | NPPES |
3858329 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0127X | Surgery - Trauma Surgery | 34611 (Tennessee) | Secondary |
208600000X | Surgery | 47459 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Colorado Medical Center | Greeley, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Banner Health Physicians Colorado Llc | 8921273038 | 228 |
Entity Name | Ncmc Specialty Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023046620 PECOS PAC ID: 8224027008 Enrollment ID: O20040507000484 |
Entity Name | Banner Health Physicians Colorado Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073899134 PECOS PAC ID: 8921273038 Enrollment ID: O20111219000237 |
Mailing Address | Practice Location Address |
---|---|
Robert Peteris Vickerman, MD 1800 15th St, Suite 210, Greeley, CO 80631-4500 Ph: (970) 352-8216 | Robert Peteris Vickerman, MD 1800 15th St, Suite 210, Greeley, CO 80631-4500 Ph: (970) 352-8216 |
Dr. Lesley A Fraser, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1900 16th St, Greeley, CO 80631 Phone: 970-350-2426 Fax: 970-350-2452 | |
Jason Wing Tcheng, MD, FACS Surgery Medicare: Accepting Medicare Assignments Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 970-810-3894 | |
Dr. Michael E Peetz, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1900 16th St, Greeley, CO 80631 Phone: 970-313-2426 Fax: 970-350-2452 | |
Dr. Jason W Ogren, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1900 16th St, Greeley, CO 80631 Phone: 970-350-2426 Fax: 970-350-2478 | |
Mrs. Kelsey Rains Shay, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 970-810-3894 Fax: 970-810-3897 | |
Dr. Joseph A Tyburczy, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1800 15th St, Suite 210, Greeley, CO 80631 Phone: 970-352-8216 Fax: 970-352-5297 |