Thomas J Lally, MD | |
10900 W 44th Ave Unit 200, Suite 202, Wheat Ridge, CO 80033-2742 | |
(303) 379-9371 | |
(303) 284-4082 |
Full Name | Thomas J Lally |
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Gender | Male |
Speciality | Internal Medicine |
Location | 10900 W 44th Ave Unit 200, Wheat Ridge, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568438653 | NPI | - | NPPES |
16108272 | Medicaid | CO | |
C526618 | Other | CO | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 41971 (Colorado) | Secondary |
207R00000X | Internal Medicine | DR.0041971 (Colorado) | Primary |
Entity Name | Physician Housecalls Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295789824 PECOS PAC ID: 0840212809 Enrollment ID: O20051219001031 |
Mailing Address | Practice Location Address |
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Thomas J Lally, MD 10900 W 44th Ave Unit 200, Suite 202, Wheat Ridge, CO 80033-2742 Ph: (303) 379-9371 | Thomas J Lally, MD 10900 W 44th Ave Unit 200, Suite 202, Wheat Ridge, CO 80033-2742 Ph: (303) 379-9371 |
Dr. Emmett David Ratigan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3550 Lutheran Pkwy, Bldg 10 Suite 200, Wheat Ridge, CO 80033 Phone: 720-536-2100 Fax: 720-536-2090 | |
Mr. Ivan Benjamin Geller, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3885 Upham St, 100, Wheat Ridge, CO 80033 Phone: 303-742-0108 Fax: 303-742-0690 | |
Dr. Scott R Valent, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3655 Lutheran Pkwy, Suite #201, Wheat Ridge, CO 80033 Phone: 303-603-9800 | |
Carl Robert Dahl, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 8550 W 38th Ave Ste 300, Wheat Ridge, CO 80033 Phone: 303-463-3900 Fax: 303-463-3999 | |
Jennifer Ruth Pula, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 7821 W 38th Ave, Wheat Ridge, CO 80033 Phone: 303-422-2343 Fax: 303-422-8291 | |
Norman K Fujita, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3885 Upham St, Ste 200, Wheat Ridge, CO 80033 Phone: 303-425-9245 Fax: 303-425-1378 | |
Dr. Joshua Aaron Brauer, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4803 Ward Rd, Wheat Ridge, CO 80033 Phone: 303-338-4545 |