| Caleb J Stepan, MD | |
|
2373 G Rd, Suite 200, Grand Junction, CO 81505-9641 | |
| (970) 243-3061 | |
| (970) 245-8369 |
| Full Name | Caleb J Stepan |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 22 Years |
| Location | 2373 G Rd, Grand Junction, 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 |
|---|---|---|---|
| 1023137940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 4791 (Nebraska) | Secondary |
| 208800000X | Urology | 47627 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospital | Grand junction, CO | Hospital |
| St Marys Medical Center | Grand junction, CO | Hospital |
| Delta County Memorial Hospital | Delta, CO | Hospital |
| Montrose Memorial Hospital | Montrose, CO | Hospital |
| Colorado Canyons Hospital And Medical Center | Fruita, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Delta County Memorial Hospital | 1850200601 | 54 |
| Colorado Surgical Affiliates Llc | 5496034068 | 47 |
| Entity Name | Delta County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417935446 PECOS PAC ID: 1850200601 Enrollment ID: O20040113000653 |
| Entity Name | Intermountain Medical Group Grand Junction, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356765556 PECOS PAC ID: 3779707856 Enrollment ID: O20140611000363 |
| Entity Name | Colorado Surgical Affiliates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043663594 PECOS PAC ID: 5496034068 Enrollment ID: O20161123000009 |
| Mailing Address | Practice Location Address |
|---|---|
| Caleb J Stepan, MD 2373 G Rd, Suite 200, Grand Junction, CO 81505-9641 Ph: (970) 243-3061 | Caleb J Stepan, MD 2373 G Rd, Suite 200, Grand Junction, CO 81505-9641 Ph: (970) 243-3061 |
Clifford Kevin Wanebo, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 810 Mazatlan Dr, Grand Junction, CO 81506 Phone: 970-243-8946 | |
Timothy Vanadurongvan, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2373 G Rd Ste 200, Grand Junction, CO 81505 Phone: 970-243-0900 Fax: 970-245-8369 | |
Mark Nishiya, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2373 G Rd, Suite 200, Grand Junction, CO 81505 Phone: 970-243-3061 Fax: 970-245-8369 |