| Amber Shields Mccollum, | |
|
1024 S Lemay Ave, Fort Collins, CO 80524-3929 | |
| (970) 495-7000 | |
| (303) 306-7753 |
| Full Name | Amber Shields Mccollum |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 20 Years |
| Location | 1024 S Lemay Ave, Fort Collins, 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 |
|---|---|---|---|
| 1255470266 | NPI | - | NPPES |
| 08031886 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | DR.0049630 (Colorado) | Secondary |
| 207P00000X | Emergency Medicine | DR.0049630 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pathways Hospice | Fort collins, CO | Hospice |
| Poudre Valley Hospital | Fort collins, CO | Hospital |
| Medical Center Of The Rockies | Loveland, CO | Hospital |
| Centre Ave Health & Rehab | Fort collins, CO | Nursing home |
| Columbine West Health And Rehab Facility | Fort collins, CO | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northern Colorado Hospitalists Professional Llc | 8325147507 | 74 |
| Entity Name | Sterling Regional Medcenter |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942238555 PECOS PAC ID: 8022928050 Enrollment ID: O20031105000233 |
| Entity Name | East Morgan County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699708743 PECOS PAC ID: 3274443577 Enrollment ID: O20040128000184 |
| Entity Name | Northern Colorado Hospitalists Professional Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831315662 PECOS PAC ID: 8325147507 Enrollment ID: O20070628000638 |
| Mailing Address | Practice Location Address |
|---|---|
| Amber Shields Mccollum, Po Box 912215, Denver, CO 80291-2215 Ph: (303) 306-7101 | Amber Shields Mccollum, 1024 S Lemay Ave, Fort Collins, CO 80524-3929 Ph: (970) 495-7000 |
Keasha Nohelani Kuhnen, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 303-306-7783 Fax: 303-306-7753 | |
Bryan K Beck, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2127 E Harmony Rd Ste 140, Fort Collins, CO 80528 Phone: 970-297-6250 Fax: 970-297-6260 | |
Thomas John Fralich, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 303-306-7783 Fax: 303-306-7753 | |
Tyler Creighton Vaughn, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-495-7000 Fax: 303-306-7753 | |
Jeremy Salsberg, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-495-7000 Fax: 970-495-7611 | |
Devin A. Rickett, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-495-7000 Fax: 303-306-7753 | |
Darlena Darla Michelle Leins, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-495-7000 Fax: 303-306-7753 |