| Dr Alisabeth A Thurston-hicks, MD | |
|
3225 Independence Rd, Canon City, CO 81212-9380 | |
| (719) 275-2351 | |
| (719) 269-9386 |
| Full Name | Dr Alisabeth A Thurston-hicks |
|---|---|
| Gender | Female |
| Speciality | Psychiatry |
| Experience | 38 Years |
| Location | 3225 Independence Rd, Canon City, 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 |
|---|---|---|---|
| 1043367634 | NPI | - | NPPES |
| 01351295 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35129 (Colorado) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairbanks Psychiatric And Neurological Clinic A Prof Corp | 9931091170 | 3 |
| Entity Name | Fairbanks Psychiatric And Neurological Clinic A Prof Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518075100 PECOS PAC ID: 9931091170 Enrollment ID: O20040325000179 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alisabeth A Thurston-hicks, MD 3225 Independence Rd, Canon City, CO 81212-9380 Ph: (719) 275-2351 | Dr Alisabeth A Thurston-hicks, MD 3225 Independence Rd, Canon City, CO 81212-9380 Ph: (719) 275-2351 |
Dr. Mark Wayne Diamond, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3225 Independence Rd, Canon City, CO 81212 Phone: 719-275-2351 Fax: 719-269-9386 | |
Dr. Michael Ray Gummow, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 3225 Independence Rd, Canon City, CO 81212 Phone: 719-275-2351 | |
Dr. Robert E Tonsing, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 3225 Independence Rd, Canon City, CO 81212 Phone: 719-275-2351 Fax: 719-269-9386 |