Mrs Susan Jo Ponder, RN, CNS/RXN | |
1919 65th Ave Ste 3, Greeley, CO 80634-7965 | |
(970) 590-1138 | |
(970) 356-7437 |
Full Name | Mrs Susan Jo Ponder |
---|---|
Gender | Female |
Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Adult |
Location | 1919 65th Ave Ste 3, Greeley, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336496330 | NPI | - | NPPES |
1134592256 | Medicaid | CO | |
1336496330 | Other | CO | COMMERCIAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | 130627 (Colorado) | Primary |
Entity Name | Integration Mental Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134592256 PECOS PAC ID: 4082968359 Enrollment ID: O20181127000299 |
Mailing Address | Practice Location Address |
---|---|
Mrs Susan Jo Ponder, RN, CNS/RXN 1919 65th Avenue, Suite 3, Integration Mental Health, Greeley, CO 80634 Ph: (970) 590-1138 | Mrs Susan Jo Ponder, RN, CNS/RXN 1919 65th Ave Ste 3, Greeley, CO 80634-7965 Ph: (970) 590-1138 |
Mr. Daniel A. Frantz, PMHCNS-BC Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 1300 N 17th Ave, Greeley, CO 80631 Phone: 970-347-2120 Fax: 970-346-9800 | |
Mary Catherine Frantz, RN,MS,CS,CACIII Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 3211 W 20th St Ste D, Greeley, CO 80634 Phone: 970-353-2000 Fax: 970-356-4827 | |
Karen Jean Thurman, PMH,CNS/NP Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1300 N 17th Ave, Greeley, CO 80631 Phone: 970-347-2120 Fax: 970-346-9800 | |
Kelly Ann Schmalstich, ACNP-AG Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 6767 29th St Fl 2, Greeley, CO 80634 Phone: 970-224-9102 Fax: 970-224-9112 | |
Jeanette Luella Fraser, APRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 24489 County Road 54, Greeley, CO 80631 Phone: 970-689-9925 |