| Dr Kathleen A Daetwyler, MD | |
|
10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | |
| (303) 338-4545 | |
| Not Available |
| Full Name | Dr Kathleen A Daetwyler |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 16 Years |
| Location | 10240 Park Meadows Dr, Lone Tree, Colorado |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134352818 | NPI | - | NPPES |
| 026021 | Other | CO | KAISER COMMERCIAL NUMBER |
| 70053235 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | BC5174494-374 (Massachusetts) | Secondary |
| 207L00000X | Anesthesiology | 0054867 (Colorado) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Colorado Permanente Medical Group Pc | 1254238454 | 1122 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kathleen A Daetwyler, MD 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: () - | Dr Kathleen A Daetwyler, MD 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 Ph: (303) 338-4545 |
Dr. Stacey Lynn Warner, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9777 S Yosemite St Ste 210, Lone Tree, CO 80124 Phone: 303-708-2943 | |
Dr. Ryan Robert Wilson, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 10240 Park Meadows Dr, Lone Tree, CO 80124 Phone: 303-338-4545 | |
Dr. Jefferson P Mostellar, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10240 Park Meadows Dr, Lone Tree, CO 80124 Phone: 303-338-4545 | |
Long D Vu, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10375 Park Meadows Dr Ste 270, Lone Tree, CO 80124 Phone: 303-351-5995 Fax: 720-925-5897 | |
Dr. Kelly O'hear Sheppard, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 10240 Park Meadows Dr, Lone Tree, CO 80124 Phone: 303-338-4545 | |
Melissa Pelkey, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10099 Ridgegate Pkwy Ste 200, Lone Tree, CO 80124 Phone: 720-225-4466 |