| Mrs Stacia J Taverner, | |
|
1300 Main St, Windsor, CO 80550-5989 | |
| (970) 810-5498 | |
| (970) 810-5459 |
| Full Name | Mrs Stacia J Taverner |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 18 Years |
| Location | 1300 Main St, Windsor, Colorado |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467635086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner Health Physicians Colorado Llc | 8921273038 | 267 |
| Entity Name | Banner Health Physicians Colorado Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073899134 PECOS PAC ID: 8921273038 Enrollment ID: O20111219000237 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Stacia J Taverner, 1300 Main St, Windsor, CO 80550-5989 Ph: (970) 481-7944 | Mrs Stacia J Taverner, 1300 Main St, Windsor, CO 80550-5989 Ph: (970) 810-5498 |
Madison Farrell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1204 W Ash St Unit A, Windsor, CO 80550 Phone: 970-310-3406 | |
Danielle K Matra, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1170 W Ash St Ste 100, Windsor, CO 80550 Phone: 970-347-2120 Fax: 970-300-3127 | |
Mrs. Jacque Ann Ristau, M.S. Counselor Medicare: Accepting Medicare Assignments Practice Location: 1200 W Ash St, Ste D, Windsor, CO 80550 Phone: 970-222-7249 Fax: 970-267-0830 | |
Joanne S Rupert, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 28311 County Road 15, Windsor, CO 80550 Phone: 970-222-4193 Fax: 970-416-1119 | |
Alexandra Martin, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1204 W Ash St Unit A, Windsor, CO 80550 Phone: 970-310-3406 | |
Brooke Bloker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1226 W Ash St Unit C, Windsor, CO 80550 Phone: 319-939-7558 Fax: 319-939-7558 | |
Rachel Rogers, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1809 Cherry Blossom Dr Apt 202, Windsor, CO 80550 Phone: 815-238-4430 |