| David Marc Northern, MD | |
|
4102 Pinion Dr, Usaf Academy, CO 80840-2502 | |
| (719) 333-5140 | |
| Not Available |
| Full Name | David Marc Northern |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 4102 Pinion Dr, Usaf Academy, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164749875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 37734 (Alabama) | Secondary |
| 208600000X | Surgery | DR.0068175 (Colorado) | Primary |
| Entity Name | Sacred Heart Health System, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902857352 PECOS PAC ID: 5799763074 Enrollment ID: O20040713000147 |
| Mailing Address | Practice Location Address |
|---|---|
| David Marc Northern, MD 4102 Pinion Dr, Usaf Academy, CO 80840-2502 Ph: () - | David Marc Northern, MD 4102 Pinion Dr, Usaf Academy, CO 80840-2502 Ph: (719) 333-5140 |
Dr. Stacy Ann Shackelford, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4102 Pinion Dr, Usaf Academy, CO 80840 Phone: 719-333-5140 | |
Jared G. Clay, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4102 Pinion Dr, 10 Mdg, Usaf Academy, CO 80840 Phone: 719-333-5138 Fax: 719-333-5836 | |
Michelle Buehner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4102 Pinion Drive, 10th Medical Group, Usaf Academy, CO 80840 Phone: 719-333-5140 | |
Andrea Blake, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 4102 Pinion Dr, General Surgery, Usaf Academy, CO 80840 Phone: 719-333-5140 Fax: 719-333-5836 |