| Dr Kristen C Roessler, MD | |
|
281 Sawyer Dr Ste 100, Durango, CO 81303-3409 | |
| (970) 259-2162 | |
| Not Available |
| Full Name | Dr Kristen C Roessler |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 281 Sawyer Dr Ste 100, Durango, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083656151 | NPI | - | NPPES |
| 02597280 | Medicaid | NY | |
| 1613555553 | Other | BUSINESS TAX ID | |
| 11775548 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 42426 (Colorado) | Primary |
| Entity Name | The Pagosa Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255857660 PECOS PAC ID: 8729342936 Enrollment ID: O20180515001936 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kristen C Roessler, MD 281 Sawyer Dr Ste 100, Durango, CO 81303-3409 Ph: (970) 259-2162 | Dr Kristen C Roessler, MD 281 Sawyer Dr Ste 100, Durango, CO 81303-3409 Ph: (970) 259-2162 |
Lauren Alexandra Laqua, CPNP-PC Pediatrics Medicare: Medicare Enrolled Practice Location: 29423 Highway 160, Durango, CO 81301 Phone: 970-259-7337 | |
Dr. Kimberly J Caruso, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 810 East 3rd St, Suite #301, Pediatric Partners Of The Southwest, Durango, CO 81301 Phone: 970-375-0100 Fax: 970-375-9210 | |
Dr. David Alexander Maclaurin, MD, MPH Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 810 E 3rd St Unit 301, Durango, CO 81301 Phone: 970-375-0100 | |
Dr. Whitney W Pack, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1199 Main Ave, Suite 205, Durango, CO 81301 Phone: 970-259-7337 Fax: 970-259-7366 | |
Jessica Marsh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 810 E 3rd St Unit 301, Durango, CO 81301 Phone: 970-375-0100 | |
Robert Mcgrath, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1810 E 3rd Ave, Ste 101, Durango, CO 81301 Phone: 970-247-4567 Fax: 970-533-7310 |