Dewayne Edward Niebur, MD | |
611 W Main St, Aspen, CO 81611-1619 | |
(970) 920-0104 | |
(970) 920-0124 |
Full Name | Dewayne Edward Niebur |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 611 W Main St, Aspen, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861526469 | NPI | - | NPPES |
04370236 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 37733 (Colorado) | Primary |
Entity Name | Aspen Medical Care, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154451367 PECOS PAC ID: 3476537911 Enrollment ID: O20040614001328 |
Mailing Address | Practice Location Address |
---|---|
Dewayne Edward Niebur, MD 721 W Francis St, Aspen, CO 81611-1143 Ph: (970) 925-7702 | Dewayne Edward Niebur, MD 611 W Main St, Aspen, CO 81611-1619 Ph: (970) 920-0104 |
Dr. Kelly Tay Locke, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Castle Creek Rd, Aspen, CO 81611 Phone: 970-279-4111 | |
Anne M Goyette, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Founders Pl, Suite 109, Aspen, CO 81611 Phone: 970-920-0104 Fax: 970-920-0124 | |
Stephanie Karozos, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 N Mill St Ste 116, Aspen, CO 81611 Phone: 970-544-1234 |