Thomas Julian Krasny Ergen, MD | |
12631 E 17th Ave Ofc 1, Aurora, CO 80045-2527 | |
(303) 724-7378 | |
(803) 434-4183 |
Full Name | Thomas Julian Krasny Ergen |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 12631 E 17th Ave Ofc 1, Aurora, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891175501 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | DR0064422 (Colorado) | Primary |
Entity Name | The Southeast Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Mailing Address | Practice Location Address |
---|---|
Thomas Julian Krasny Ergen, MD 12631 E 17th Ave Ofc 1b202, Aurora, CO 80045-2527 Ph: (865) 385-7424 | Thomas Julian Krasny Ergen, MD 12631 E 17th Ave Ofc 1, Aurora, CO 80045-2527 Ph: (303) 724-7378 |
Mr. Philip Adam Stull, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1411 S Potomac St, Ste 400, Aurora, CO 80012 Phone: 303-695-6060 Fax: 303-369-7776 | |
Andrew Maertens, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 13001 E 17th Pl, Aurora, CO 80045 Phone: 303-724-2963 | |
Peter D'ambrosia, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000 | |
Mr. Stephen David Lindenbaum, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1411 S Potomac St, Ste 400, Aurora, CO 80012 Phone: 303-695-6060 Fax: 303-369-7776 | |
Dr. Jeffrey Dalton Hassebrock, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1635 Aurora Ct, Aurora, CO 80045 Phone: 720-848-0000 | |
Carissa C Dock, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 12631 E 17th Ave, Aurora, CO 80045 Phone: 303-724-8472 | |
Evalina Burger, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000 |