| Dr Jeremy Dewall, MD, NREMT-P | |
|
16420 W Us Highway 24, Woodland Park, CO 80863 | |
| (719) 687-9999 | |
| (303) 306-7753 |
| Full Name | Dr Jeremy Dewall |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 16420 W Us Highway 24, Woodland Park, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477672863 | NPI | - | NPPES |
| 30489377 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2365-850 (Wisconsin) | Secondary |
| 207P00000X | Emergency Medicine | 48580 (Colorado) | Primary |
| Entity Name | Emergency Medical Specialists, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194708073 PECOS PAC ID: 2860489242 Enrollment ID: O20040428000221 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeremy Dewall, MD, NREMT-P Po Box 173891, Denver, CO 80217-3891 Ph: (303) 306-7783 | Dr Jeremy Dewall, MD, NREMT-P 16420 W Us Highway 24, Woodland Park, CO 80863 Ph: (719) 687-9999 |
Dr. Jon Norman Green, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 145 Radiant Ct, Woodland Park, CO 80863 Phone: 719-687-0850 Fax: 508-300-5891 | |
Dr. R Wayne Gage, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 41 N Hwy 67, Woodland Park, CO 80863 Phone: 303-759-0854 Fax: 303-759-0864 | |
Michael R Bjork, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 41 State Highway 67, Woodland Park, CO 80863 Phone: 719-776-3216 Fax: 719-776-3187 |