| Dr Deborah Green, MD | |
|
315 Park Ave, Fort Lupton, CO 80621-1929 | |
| (303) 857-6111 | |
| (303) 857-2459 |
| Full Name | Dr Deborah Green |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 315 Park Ave, Fort Lupton, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063446334 | NPI | - | NPPES |
| 010022980 | Other | CO | RR PTAN |
| 01241330 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24133 (Colorado) | Primary |
| Entity Name | Seasons Medical Group Of Colorado Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649707332 PECOS PAC ID: 7810327285 Enrollment ID: O20200427000941 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Deborah Green, MD 315 Park Ave, Fort Lupton, CO 80621-1929 Ph: (303) 857-6111 | Dr Deborah Green, MD 315 Park Ave, Fort Lupton, CO 80621-1929 Ph: (303) 857-6111 |
Tillman Farley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1115 2nd St, Fort Lupton, CO 80621 Phone: 303-857-2771 Fax: 720-322-9434 | |
Mary C Weis-fout, MSN FNP C Family Medicine Medicare: Medicare Enrolled Practice Location: 327 Park Ave, Fort Lupton, CO 80621 Phone: 303-857-2711 Fax: 303-857-1408 | |
Elizabeth Gutierrez, Family Medicine Medicare: Medicare Enrolled Practice Location: 1115 2nd St, Fort Lupton, CO 80621 Phone: 720-332-9445 | |
Katherine Rufner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1115 2nd St, Fort Lupton, CO 80621 Phone: 303-857-2771 Fax: 720-322-9434 | |
Anabel Ruiz, Family Medicine Medicare: Medicare Enrolled Practice Location: 1115 2nd St, Fort Lupton, CO 80621 Phone: 303-697-2583 | |
Kalina Ehrenreich-piot, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1115 2nd St, Fort Lupton, CO 80621 Phone: 303-697-2583 Fax: 720-322-9411 |