| Dr James E Roukema, DO | |
|
1311a N Mildred Rd, Cortez, CO 81321-2231 | |
| (970) 565-8556 | |
| Not Available |
| Full Name | Dr James E Roukema |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 1311a N Mildred Rd, Cortez, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891714713 | NPI | - | NPPES |
| 01281013 | Medicaid | CO | |
| 160046219 | Other | CO | RAILROAD MEDICARE |
| 73908771 | Medicaid | CO | |
| 841513055001 | Other | CO | ROKCY MTN HEALTH PLANS |
| RO32241 | Other | CO | BCBS |
| 84151305501 | Other | CO | PACIFICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 28101 (Colorado) | Primary |
| Entity Name | Pueblo Community Health Center Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770529950 PECOS PAC ID: 4284543802 Enrollment ID: O20031104000171 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James E Roukema, DO Po Box 560825, Denver, CO 80256-0825 Ph: (719) 595-7580 | Dr James E Roukema, DO 1311a N Mildred Rd, Cortez, CO 81321-2231 Ph: (970) 565-8556 |
Dr. Marcelyn Ann Lepique, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1311a N Mildred Rd, Cortez, CO 81321 Phone: 970-564-2662 Fax: 970-564-2658 | |
Jessica Kaplan, M.D., M.P.H. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1311a N Mildred Rd, Cortez, CO 81321 Phone: 970-565-8556 | |
Erin D Schmitt, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1311a N Mildred Rd, Cortez, CO 81321 Phone: 970-565-8665 Fax: 970-564-1134 | |
Kimberly Ann Washburn, N.P. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1311a N Mildred Rd, Cortez, CO 81321 Phone: 970-565-8556 Fax: 970-564-1134 | |
Dr. Daniel James Bohle, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 20 S Market St, Suite 1, Cortez, CO 81321 Phone: 970-565-4291 Fax: 970-565-4419 |