| Grand Junction Gastroenterology, Pllc | |
|
1035 Wellington Ave Grand Junction CO 81501-8122 | |
| (970) 242-6600 | |
| (970) 241-8443 |
| Full Name | Grand Junction Gastroenterology, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1035 Wellington Ave, Grand Junction, Colorado |
| Authorized Official Name and Position | Tara Jacobson (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 9702576902 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Junction Gastroenterology, Pllc 1035 Wellington Ave Grand Junction CO 81501-8122 Ph: (970) 242-6600 | Grand Junction Gastroenterology, Pllc 1035 Wellington Ave Grand Junction CO 81501-8122 Ph: (970) 242-6600 |
| NPI Number | 1841238250 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 09/16/2022 |
| Medicare PECOS PAC ID | 0244121291 |
|---|---|
| Medicare Enrollment ID | O20040322000385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841238250 | NPI | - | NPPES |
| P00001798 | Other | CO | RRPTAN |
| P00403557 | Other | CO | RRPTAN |
| 01303684 | Medicaid | CO | |
| 93503300 | Medicaid | CO | |
| 35129549 | Medicaid | CO | |
| CK9301 | Other | CO | RRPTAN |
| 01342740 | Medicaid | CO | |
| 68804059 | Medicaid | CO | |
| P00658273 | Other | CO | RRPTAN |
| P00001800 | Other | CO | RRPTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Brent J Prosser |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063579555 PECOS PAC ID: 9032218276 Enrollment ID: I20070628000367 |
| Provider Name | Eugene Crafton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508874850 PECOS PAC ID: 0042388795 Enrollment ID: I20081007000814 |
| Provider Name | Steven Seagren |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184665655 PECOS PAC ID: 1951292911 Enrollment ID: I20100806000476 |
| Provider Name | William Shields |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245203561 PECOS PAC ID: 1951526979 Enrollment ID: I20140708001277 |
| Provider Name | George R Winters |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104891910 PECOS PAC ID: 1759398423 Enrollment ID: I20150622001073 |
| Provider Name | Philip H. Sarges |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538393939 PECOS PAC ID: 5991090649 Enrollment ID: I20160820000028 |
| Provider Name | Ellen Ablog Dy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053317578 PECOS PAC ID: 4385786128 Enrollment ID: I20170803000347 |
| Provider Name | Michael G Harris |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033650809 PECOS PAC ID: 7214274034 Enrollment ID: I20221102001317 |
| Provider Name | Daniel N Castresana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770873465 PECOS PAC ID: 7012133879 Enrollment ID: I20230621002656 |
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