| Anthony Richard Declusin, MD | |
|
1925 Mountain View Ave, Longmont, CO 80501-3128 | |
| (720) 718-8070 | |
| (720) 494-3107 |
| Full Name | Anthony Richard Declusin |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 7 Years |
| Location | 1925 Mountain View Ave, Longmont, 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 |
|---|---|---|---|
| 1669977997 | NPI | - | NPPES |
| 9000163141 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | DR.0066615 (Colorado) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | DR.0066615 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Longs Peak Hospital | Longmont, CO | Hospital |
| Medical Center Of The Rockies | Loveland, CO | Hospital |
| Uchealth Broomfield Hospital | Broomfield, CO | Hospital |
| Poudre Valley Hospital | Fort collins, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Poudre Valley Medical Group Llc | 9638208549 | 1992 |
| Entity Name | Denver Health And Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477569838 PECOS PAC ID: 4688583578 Enrollment ID: O20031105000211 |
| Entity Name | Poudre Valley Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190517001824 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Richard Declusin, MD 1925 Mountain View Ave, Longmont, CO 80501-3128 Ph: (720) 718-8070 | Anthony Richard Declusin, MD 1925 Mountain View Ave, Longmont, CO 80501-3128 Ph: (720) 718-8070 |
William Louis Fink, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1707 Main St, Suite 404, Longmont, CO 80501 Phone: 303-776-9797 Fax: 303-776-7693 | |
Dr. Robert George Ruegg Jr., MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 529 Coffman St, #300, Longmont, CO 80501 Phone: 303-684-0555 Fax: 970-336-5000 | |
Dr. Haven Howell, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 500 Kimbark St, Suite 200, Longmont, CO 80501 Phone: 720-652-0416 Fax: 720-652-0408 | |
Dr. Aaron Gavin Meng, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2345 Bent Way, Longmont, CO 80503 Phone: 303-338-4545 | |
Dr. Pierre V Pavot, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2030 Mountain View Ave, Suite 300, Longmont, CO 80501 Phone: 303-485-3535 Fax: 303-485-3536 | |
Dr. Steven Fussner, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1511 Onyx Cir, Longmont, CO 80504 Phone: 303-776-5298 | |
Dr. Paul Andrew Sykes, M.D., PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1925 Mountain View Ave, Longmont, CO 80501 Phone: 720-718-8070 Fax: 720-494-3107 |