| Dr Gregory Michael Schackel, MD | |
|
1 Mercado St, Suite 205, Durango, CO 81301-7306 | |
| (970) 385-7272 | |
| (970) 385-7299 |
| Full Name | Dr Gregory Michael Schackel |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 40 Years |
| Location | 1 Mercado St, Durango, Colorado |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831148352 | NPI | - | NPPES |
| 84687215 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 44598 (Colorado) | Secondary |
| 207Y00000X | Otolaryngology | 90296 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Regional Medical Center | Durango, CO | Hospital |
| Southwest Memorial Hospital | Cortez, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwestern Colorado Ear Nose And Throat | 7719980580 | 7 |
| Entity Name | Southwestern Colorado Ear Nose And Throat |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689607947 PECOS PAC ID: 7719980580 Enrollment ID: O20060816000428 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gregory Michael Schackel, MD 1 Mercado St, Suite 205, Durango, CO 81301-7306 Ph: (970) 385-7272 | Dr Gregory Michael Schackel, MD 1 Mercado St, Suite 205, Durango, CO 81301-7306 Ph: (970) 385-7272 |
Dr. William Thomas Williams, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 555 Rivergate Ste B1-105, C/o Curtis Powers-ackley, Durango, CO 81301 Phone: 970-749-1157 | |
Dr. Philip David Wiley, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1165 S Camino Del Rio, Ste 200, Durango, CO 81303 Phone: 970-247-2920 Fax: 970-247-2923 | |
Rachel B Cain, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1 Mercado St, Suite 205, Durango, CO 81301 Phone: 970-385-7272 Fax: 970-385-7299 |