| Dr Lawrence Gustavo Davis, MD | |
|
6767 West 29th Street, Greeley, CO 80634 | |
| (970) 652-2426 | |
| (970) 652-2478 |
| Full Name | Dr Lawrence Gustavo Davis |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 27 Years |
| Location | 6767 West 29th Street, Greeley, Colorado |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851382634 | NPI | - | NPPES |
| 10025926100 | Medicaid | NE | |
| 39126544 | Medicaid | CO | |
| 133142600 | Medicaid | WY | |
| P01022528 | Other | CO | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 47358 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chase County Community Hospital | Imperial, NE | Hospital |
| Melissa Memorial Hospital | Holyoke, CO | Hospital |
| Sedgwick County Memorial Hospital | Julesburg, CO | Hospital |
| Dundy County Hospital | Benkelman, NE | Hospital |
| Uchealth Greeley Hospital | Greeley, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sedgwick County Memorial Hospital | 1052201100 | 16 |
| Poudre Valley Medical Group Llc | 9638208549 | 1992 |
| Entity Name | Poudre Valley Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760492714 PECOS PAC ID: 7618880709 Enrollment ID: O20031105000791 |
| Entity Name | East Phillips County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891733879 PECOS PAC ID: 9638161615 Enrollment ID: O20040331000584 |
| Entity Name | Sedgwick County Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1740295591 PECOS PAC ID: 1052201100 Enrollment ID: O20090708000398 |
| Entity Name | Poudre Valley Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
| Entity Name | Sedgwick County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1740295591 PECOS PAC ID: 1052201100 Enrollment ID: O20210315002385 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lawrence Gustavo Davis, MD 6767 W 29th St, Greeley, CO 80634-5474 Ph: (706) 522-4269 | Dr Lawrence Gustavo Davis, MD 6767 West 29th Street, Greeley, CO 80634 Ph: (970) 652-2426 |
Robert Peteris Vickerman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1800 15th St, Suite 210, Greeley, CO 80631 Phone: 970-352-8216 Fax: 970-352-5297 | |
Dr. Lesley A Fraser, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1900 16th St, Greeley, CO 80631 Phone: 970-350-2426 Fax: 970-350-2452 | |
Jason Wing Tcheng, MD, FACS Surgery Medicare: Accepting Medicare Assignments Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 970-810-3894 Fax: 970-810-3897 | |
Caleb William Barnhill, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 970-810-4121 | |
Dr. Michael E Peetz, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1900 16th St, Greeley, CO 80631 Phone: 970-313-2426 Fax: 970-350-2452 | |
Dr. Jason W Ogren, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1900 16th St, Greeley, CO 80631 Phone: 970-350-2426 Fax: 970-350-2478 | |
Mrs. Kelsey Rains Shay, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 970-810-3894 Fax: 970-810-3897 |