| Dr Owen Ellis, MD | |
|
2030 W Mountain View Ave, Suite 100, Longmont, CO 80501-3178 | |
| (303) 682-0375 | |
| Not Available |
| Full Name | Dr Owen Ellis |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 31 Years |
| Location | 2030 W Mountain View Ave, Longmont, 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 |
|---|---|---|---|
| 1205880044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 38812 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Boulder Community Health | Boulder, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Boulder Valley Anesthesiology, Pllc | 7113830993 | 57 |
| Entity Name | Boulder Valley Anesthesiology, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962431668 PECOS PAC ID: 7113830993 Enrollment ID: O20031107000375 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Owen Ellis, MD 255 W Michigan Ave, Jackson, MI 49201-2218 Ph: (517) 787-6440 | Dr Owen Ellis, MD 2030 W Mountain View Ave, Suite 100, Longmont, CO 80501-3178 Ph: (303) 682-0375 |
Dr. Amanda Dawn Tucker, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5053 Rangeview Ave, Longmont, CO 80504 Phone: 970-456-5245 | |
Darin E Allen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1610 Dry Creek Dr, Longmont, CO 80503 Phone: 303-422-9438 | |
Dr. Travis R Muncy, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1950 Mountain View Ave, Longmont, CO 80501 Phone: 303-651-5300 |