| Benjamin Miceli, PA-C | |
|
1107 S Lemay Ave, Suite 240, Fort Collins, CO 80524-3960 | |
| (970) 495-7421 | |
| (970) 495-7424 |
| Full Name | Benjamin Miceli |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 1107 S Lemay Ave, Fort Collins, 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 |
|---|---|---|---|
| 1043633324 | NPI | - | NPPES |
| 14330318 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0003875 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uchealth Greeley Hospital | Greeley, CO | Hospital |
| Medical Center Of The Rockies | Loveland, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Poudre Valley Medical Group Llc | 9638208549 | 1607 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Miceli, PA-C 1107 S Lemay Ave, Suite 240, Fort Collins, CO 80524-3960 Ph: (970) 495-7421 | Benjamin Miceli, PA-C 1107 S Lemay Ave, Suite 240, Fort Collins, CO 80524-3960 Ph: (970) 495-7421 |
Karen L Bertasso, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1107 S Lemay Ave, Ste 240, Fort Collins, CO 80524 Phone: 970-495-7421 Fax: 970-495-7424 | |
Ms. Roberta J Brooks, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2127 E Harmony Rd, Suite 140, Fort Collins, CO 80528 Phone: 970-297-6250 Fax: 970-297-6260 | |
Eric Christopher Heckman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 E Prospect Rd, Fort Collins, CO 80525 Phone: 970-493-0112 Fax: 970-493-0521 | |
Mr. Michael D Jacobson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2121 E Harmony Rd, Suite 300, Fort Collins, CO 80528 Phone: 970-224-9102 Fax: 970-224-9112 | |
Heather L. Freeman, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-495-7000 Fax: 303-306-7753 | |
Laura Lynn Madigan, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2121 E Harmony Rd, Suite 310, Fort Collins, CO 80528 Phone: 970-221-3855 | |
Paige Elizabeth Bruning, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3702 S Timberline Rd Ste A, Fort Collins, CO 80525 Phone: 970-207-9773 |