| Dr Michael T Randle, MD | |
|
1900 16th St, Greeley, CO 80631-5114 | |
| (970) 350-2438 | |
| (970) 350-2473 |
| Full Name | Dr Michael T Randle |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1900 16th St, Greeley, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124006853 | NPI | - | NPPES |
| 50483579 | Medicaid | CO | |
| P00944796 | Other | CO | MEDICARE RAILROAD CARRIER PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 39374 (Colorado) | Primary |
| 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 Michael T Randle, MD 1900 16th St, Greeley, CO 80631-5114 Ph: (970) 350-2438 | Dr Michael T Randle, MD 1900 16th St, Greeley, CO 80631-5114 Ph: (970) 350-2438 |
Dr. John Paul Berger, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6767 29th St Fl 2, Greeley, CO 80634 Phone: 970-224-9102 Fax: 970-224-9112 | |
Dr. Sheldon Gregory Stadnyk, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1801 16th St, Greeley, CO 80631 Phone: 970-350-6002 | |
Dr. Veronika Panah, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2010 16th St Ste A, Greeley, CO 80631 Phone: 970-810-4475 | |
Dr. Steven O Kading, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 16th St, Greeley, CO 80631 Phone: 970-350-2740 Fax: 970-352-3719 | |
Dr. Brian J Daily, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6767 29th St, Greeley, CO 80634 Phone: 970-652-2000 | |
Dr. Bryan Paul Mcvay, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6767 29th St Fl 2, Greeley, CO 80634 Phone: 970-224-9102 | |
Dr. Jimmy Giang, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8225 W 20th St, Greeley, CO 80634 Phone: 970-378-1414 |