| Dr Martin A Koschnitzke, MD | |
|
1760 E Ken Pratt Blvd # 201, Longmont, CO 80504-5311 | |
| (720) 718-8222 | |
| (720) 718-5986 |
| Full Name | Dr Martin A Koschnitzke |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 1760 E Ken Pratt Blvd # 201, Longmont, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427043934 | NPI | - | NPPES |
| 01252097 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 34193 (Colorado) | Primary |
| Entity Name | Park Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467581470 PECOS PAC ID: 4688583826 Enrollment ID: O20040311000804 |
| 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 Martin A Koschnitzke, MD 2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071 Ph: (970) 586-2200 | Dr Martin A Koschnitzke, MD 1760 E Ken Pratt Blvd # 201, Longmont, CO 80504-5311 Ph: (720) 718-8222 |
Dr. Katherine J Hladky, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2030 Mountain View Ave Ste 400, Longmont, CO 80501 Phone: 720-652-8730 Fax: 720-652-8729 | |
Dr. Heather Michelle Keene, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1925 Mountain View Ave, Ste 400, Longmont, CO 80501 Phone: 303-776-1234 Fax: 720-494-3107 | |
Dr. Jalpa B Kim, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1925 W Mountain View Ave, Longmont, CO 80501 Phone: 303-776-1234 Fax: 720-494-3107 | |
Dr. Don Ellis Wilson, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1601 Sherman Way, Longmont, CO 80501 Phone: 303-772-3450 | |
Dr. Amy Lou Johnson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1925 Mountain View Ave, Longmont, CO 80501 Phone: 303-776-1234 Fax: 720-494-3107 | |
Christine A Smith, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1925 W Mountain View Ave, Longmont, CO 80501 Phone: 303-776-1234 Fax: 720-494-3107 |