| Charles Robert Fowler, MD | |
|
300 W Ottley Ave, Fruita, CO 81521-2118 | |
| (970) 858-2149 | |
| (970) 858-2200 |
| Full Name | Charles Robert Fowler |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 42 Years |
| Location | 300 W Ottley Ave, Fruita, 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 |
|---|---|---|---|
| 1730196288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | DR.0028733 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Delta County Memorial Hospital | Delta, CO | Hospital |
| Montrose Memorial Hospital | Montrose, CO | Hospital |
| St Marys Medical Center | Grand junction, CO | Hospital |
| Community Hospital | Grand junction, CO | Hospital |
| Frances Mahon Deaconess Hospital | Glasgow, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Delta County Memorial Hospital | 1850200601 | 54 |
| Frances Mahon Deaconess Hospital | 3173430949 | 35 |
| 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 | Western Colorado Radiologic Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316929284 PECOS PAC ID: 7315836608 Enrollment ID: O20040313000784 |
| Entity Name | Mountain Radiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093823742 PECOS PAC ID: 4688666761 Enrollment ID: O20040330001831 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Robert Fowler, MD Po Box 130, Fruita, CO 81521-0130 Ph: (970) 858-2149 | Charles Robert Fowler, MD 300 W Ottley Ave, Fruita, CO 81521-2118 Ph: (970) 858-2149 |
Michael George Neste, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 W Ottley Ave, Fruita, CO 81521 Phone: 970-858-2149 Fax: 970-858-2208 | |
Sheri Louise Brinker, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 300 W Ottley Ave, Fruita, CO 81521 Phone: 970-858-2149 Fax: 970-858-2200 | |
Dr. Carl Ernst Blunck, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 W Ottley Ave, Fruita, CO 81521 Phone: 970-858-2186 Fax: 970-858-2208 |