| Dr Bentley Cole Tate, MD | |
|
1100 Carson Ave, La Junta, CO 81050-2751 | |
| (303) 770-4491 | |
| Not Available |
| Full Name | Dr Bentley Cole Tate |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1100 Carson Ave, La Junta, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649229675 | NPI | - | NPPES |
| 1323815 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 32381 (Colorado) | Primary |
| Entity Name | Morgan Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396721890 PECOS PAC ID: 4284620063 Enrollment ID: O20050222000697 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bentley Cole Tate, MD 200 Corporate Blvd, Suite 201, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Dr Bentley Cole Tate, MD 1100 Carson Ave, La Junta, CO 81050-2751 Ph: (303) 770-4491 |
Dr. William Lee Jurgens, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Carson Ave, La Junta, CO 81050 Phone: 719-384-5412 | |
Mary Jean Berg, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 Carson Ave, La Junta, CO 81050 Phone: 800-893-9698 | |
Dr. Paul T Yoder, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 531 Lewis Ave, La Junta, CO 81050 Phone: 719-384-8827 |