| Gregory P Clark, APN | |
|
4674 Snow Mesa Dr Ste 100, Fort Collins, CO 80528-8614 | |
| (970) 482-3712 | |
| Not Available |
| Full Name | Gregory P Clark |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 4674 Snow Mesa Dr Ste 100, 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 |
|---|---|---|---|
| 1497322408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN.0130031 (Colorado) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APN.0996672-NP (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Poudre Valley Hospital | Fort collins, CO | Hospital |
| Medical Center Of The Rockies | Loveland, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Poudre Valley Health Care Inc | 7618880709 | 87 |
| Poudre Valley Medical Group Llc | 9638208549 | 1607 |
| Entity Name | Poudre Valley Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760492714 PECOS PAC ID: 7618880709 Enrollment ID: O20031105000791 |
| Entity Name | Poudre Valley Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory P Clark, APN 2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071 Ph: () - | Gregory P Clark, APN 4674 Snow Mesa Dr Ste 100, Fort Collins, CO 80528-8614 Ph: (970) 482-3712 |
Casey Marie Weller, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-495-7000 Fax: 303-306-7753 | |
Meghan Elizabeth Vertovec, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1525 Blue Spruce Dr, Fort Collins, CO 80524 Phone: 970-498-6807 | |
Coreen Herron, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1136 E Stuart St Ste 4101, Fort Collins, CO 80525 Phone: 970-670-0913 | |
Ms. Joyce C Honea, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2127 E Harmony Rd, Ste 140, Fort Collins, CO 80528 Phone: 970-297-6250 Fax: 970-297-6260 | |
Katy Pfiffner, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2014 Caribou Dr, Fort Collins, CO 80525 Phone: 970-221-1681 | |
Ms. Lindsay A Bell, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 E Prospect Rd, Fort Collins, CO 80525 Phone: 970-493-0112 Fax: 970-493-1794 | |
Mrs. Nancy Marie Reges, ANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2025 Bighorn Rd, Fort Collins, CO 80525 Phone: 970-229-9800 Fax: 970-229-1421 |