| Steamboat Spring Family Medicine | |
|
501 Anglers Drive Suite 201 Steamboat CO 80487 | |
| (970) 871-1323 | |
| (970) 871-9177 |
| Full Name | Steamboat Spring Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 501 Anglers Drive, Steamboat, Colorado |
| Authorized Official Name and Position | Rosanne K Iversen (PHYSICIAN) |
| Authorized Official Contact | 9708711323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steamboat Spring Family Medicine 501 Anglers Drive Suite 201 Steamboat CO 80487 Ph: (970) 871-1323 | Steamboat Spring Family Medicine 501 Anglers Drive Suite 201 Steamboat CO 80487 Ph: (970) 871-1323 |
| NPI Number | 1245334341 |
|---|---|
| Provider Enumeration Date | 09/11/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5890681886 |
|---|---|
| Medicare Enrollment ID | O20040226000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245334341 | NPI | - | NPPES |
| 31132081 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Phaedra A Fegley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235140690 PECOS PAC ID: 0345205647 Enrollment ID: I20050221000442 |
| Provider Name | Rosanne K Iversen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881612778 PECOS PAC ID: 0244126233 Enrollment ID: I20100927000583 |
| Provider Name | Joshua Welch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477567543 PECOS PAC ID: 9638173156 Enrollment ID: I20120209000628 |
| Provider Name | Julie Kinkler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164195269 PECOS PAC ID: 3678956869 Enrollment ID: I20220822001060 |