Susan A Vickerman, DO | |
50 Buck Creek Road, Suite 200, Avon, CO 81620 | |
(970) 926-6340 | |
(970) 926-6348 |
Full Name | Susan A Vickerman |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 29 Years |
Location | 50 Buck Creek Road, Avon, Colorado |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750383667 | NPI | - | NPPES |
01363910 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 36391 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Vail Health Hospital | Vail, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Healthcare Services Inc | 2163339722 | 3341 |
Colorado Mountain Medical, Llc | 5496087181 | 62 |
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 Mountain Medical, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730747445 PECOS PAC ID: 5496087181 Enrollment ID: O20191030000595 |
Mailing Address | Practice Location Address |
---|---|
Susan A Vickerman, DO Po Box 4330, Avon, CO 81620-4330 Ph: (970) 926-6340 | Susan A Vickerman, DO 50 Buck Creek Road, Suite 200, Avon, CO 81620 Ph: (970) 926-6340 |
Debra Whitman, DVM Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 0730 Nottingham Rd, Second Floor, Avon, CO 81620 Phone: 970-949-6467 | |
Diane Voytko, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Buck Creek Road, Suite 200, Avon, CO 81620 Phone: 970-926-6340 Fax: 970-926-6348 | |
Jonathan C Feeney, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Buck Creek Road, Suite 200, Avon, CO 81620 Phone: 970-926-6340 Fax: 970-926-6348 | |
Keith L Rapp, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 50 Buck Creek Road, Suite 200, Avon, CO 81620 Phone: 970-926-6340 Fax: 970-926-6348 | |
Guy J. Kovacevich, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 142 Beaver Creek Place, Avon, CO 81620 Phone: 970-949-5434 Fax: 970-949-0376 | |
Melissa O'meara, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Buck Creek Rd Ste 200, Avon, CO 81620 Phone: 970-926-6340 Fax: 970-926-6348 | |
Eric E Olson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Buck Creek Road, Suite 200, Avon, CO 81620 Phone: 970-926-6340 Fax: 970-926-6348 |