| Dr James Edward Rafferty, DO | |
|
1900 16th St, Greeley, CO 80631-5114 | |
| (970) 350-2471 | |
| (970) 350-2418 |
| Full Name | Dr James Edward Rafferty |
|---|---|
| Gender | Male |
| Speciality | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine |
| Location | 1900 16th St, Greeley, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821160466 | NPI | - | NPPES |
| 83581863 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 43432 (Colorado) | Primary |
| Entity Name | Colorado Permanente Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640 |
| Entity Name | Intermountain Medical Group Denver, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083021083 PECOS PAC ID: 0840513552 Enrollment ID: O20150106000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Edward Rafferty, DO 1900 16th St, Greeley, CO 80631-5114 Ph: (970) 350-2471 | Dr James Edward Rafferty, DO 1900 16th St, Greeley, CO 80631-5114 Ph: (970) 350-2471 |
Baylee Morrison, RN Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1555 N 17th Ave, Greeley, CO 80631 Phone: 970-518-6150 | |
Justin J Tingey, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 6767 29th St Fl 3, Greeley, CO 80634 Phone: 970-652-2474 Fax: 970-652-2418 | |
Dr. John Charbonneau, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 16th St, Greeley, CO 80631 Phone: 970-350-2471 Fax: 970-350-2418 |