| Dr Mark B Douthit, MD | |
|
2301 House Ave Ste 301b, Cheyenne, WY 82001-3176 | |
| (307) 778-1849 | |
| (307) 778-4995 |
| Full Name | Dr Mark B Douthit |
|---|---|
| Gender | Male |
| Speciality | Cardiac Surgery |
| Experience | 45 Years |
| Location | 2301 House Ave Ste 301b, Cheyenne, Wyoming |
| 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 |
|---|---|---|---|
| 1326038555 | NPI | - | NPPES |
| 01296961 | Medicaid | CO | |
| 1326038555 | Medicaid | NE | |
| 133577400 | Medicaid | WY | |
| P00970361 | Other | CO | RAILROAD MEDICARE PTAN |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uch-memorial Health System | Colorado springs, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 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 | 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark B Douthit, MD 2500 Rocky Mountain Ave, Suite 100, Loveland, CO 80538-9004 Ph: (970) 624-1800 | Dr Mark B Douthit, MD 2301 House Ave Ste 301b, Cheyenne, WY 82001-3176 Ph: (307) 778-1849 |
Dr. David Gary Silver, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 2301 House Ave, Cheyenne, WY 82001 Phone: 307-638-6624 Fax: 307-778-8229 | |
Steven P Cummings, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2301 House Ave Ste 301b, Cheyenne, WY 82001 Phone: 307-778-1849 Fax: 307-778-4995 | |
Dr. Maurice I Lyons, D.O. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2301 House Ave Ste 301, Cheyenne, WY 82001 Phone: 307-637-1600 Fax: 307-637-1699 |