Dr Michael Daniel Grajeda, DPT | |
111 N Park St Ste B, Cortez, CO 81321 | |
(970) 516-1600 | |
(970) 459-3048 |
Full Name | Dr Michael Daniel Grajeda |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 11 Years |
Location | 111 N Park St Ste B, Cortez, 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 |
---|---|---|---|
1538596614 | NPI | - | NPPES |
58770330 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 86634902401 (Utah) | Secondary |
225100000X | Physical Therapist | 1235743 (Texas) | Secondary |
225100000X | Physical Therapist | 0012733 (Colorado) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
High Desert Physical Therapy Llc | 3476801846 | 2 |
Provider Name | High Desert Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1649760331 PECOS PAC ID: 3476801846 Enrollment ID: O20180801000545 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Daniel Grajeda, DPT 111 N Park St Ste B, Cortez, CO 81321-3340 Ph: (970) 516-1600 | Dr Michael Daniel Grajeda, DPT 111 N Park St Ste B, Cortez, CO 81321 Ph: (970) 516-1600 |
Maeselle Tissnolthtos La Paz, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1280 N Mildred Rd, Ste 2, Cortez, CO 81321 Phone: 970-564-0311 Fax: 970-564-0313 | |
Mr. Najib Chapman Johnson, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1280 N Mildred Rd, Ste 2, Cortez, CO 81321 Phone: 970-564-0311 Fax: 970-564-0313 | |
Morgan Bugosh, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 680 E Hospital Dr, Cortez, CO 81321 Phone: 970-564-1122 | |
Ms. Debra Berger, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1280 N Mildred Rd, Ste 2, Cortez, CO 81321 Phone: 970-564-0311 Fax: 970-564-0313 | |
Susan Ullman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1206 N Mildred Rd, Cortez, CO 81321 Phone: 970-564-1888 | |
Jacki Ann Gilpin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2712 Fairway Dr, Cortez, CO 81321 Phone: 970-715-1719 Fax: 970-422-7238 | |
Brooke Mcdonald, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 N Park St Ste B, Cortez, CO 81321 Phone: 970-516-1600 Fax: 970-459-3048 |