Shannon Duvernell, DO | |
4090 Briargate Pkwy, Colorado Springs, CO 80920-7815 | |
(720) 777-1234 | |
Not Available |
Full Name | Shannon Duvernell |
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Gender | Female |
Speciality | Hospitalist |
Location | 4090 Briargate Pkwy, Colorado Springs, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265813562 | NPI | - | NPPES |
1265813562 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 125.067151 (Illinois) | Secondary |
208000000X | Pediatrics | 69343-21 (Wisconsin) | Secondary |
208M00000X | Hospitalist | DR.0068984 (Colorado) | Primary |
Entity Name | Thedacare, Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
Mailing Address | Practice Location Address |
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Shannon Duvernell, DO Po Box 110429, Aurora, CO 80042-0429 Ph: () - | Shannon Duvernell, DO 4090 Briargate Pkwy, Colorado Springs, CO 80920-7815 Ph: (720) 777-1234 |
Adam Christopher Danley, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 2222 N Nevada Ave, Colorado Springs, CO 80907 Phone: 719-776-8040 Fax: 719-776-8050 | |
Alexander Mark Hoelscher, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 7435 Sisters Grv Ste 400, Colorado Springs, CO 80923 Phone: 719-571-8030 Fax: 719-571-8031 | |
Dr. George N Reinhardt, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2222 N Nevada Ave, Colorado Springs, CO 80907 Phone: 719-776-8040 Fax: 719-776-8050 | |
Rachel Oliver, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4090 Briargate Pkwy, Colorado Springs, CO 80920 Phone: 720-777-5211 | |
Dr. Stephanie Walker Harabaglia, D.O., M.S. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1725 E Boulder St Ste 204, Colorado Springs, CO 80909 Phone: 719-471-1069 Fax: 719-577-4828 | |
Paul Edward Riuli, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2222 N Nevada Ave, Colorado Springs, CO 80907 Phone: 719-776-8040 Fax: 719-776-8050 | |
Daniel L Ward, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3355 Cathedral Spires Dr, Colorado Springs, CO 80904 Phone: 719-502-7040 Fax: 719-685-9557 |