| Dr Samuel A Shelanski, MD | |
|
2000 N Boise Ave, Loveland, CO 80538 | |
| (970) 810-3894 | |
| (970) 810-3897 |
| Full Name | Dr Samuel A Shelanski |
|---|---|
| Gender | Male |
| Speciality | Medical Oncology |
| Experience | 31 Years |
| Location | 2000 N Boise Ave, Loveland, 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 |
|---|---|---|---|
| 1295713899 | NPI | - | NPPES |
| 60489766 | Medicaid | CO | |
| P00944847 | Other | CO | MEDICARE RAILROAD CARRIER PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 43222 (Colorado) | Secondary |
| 207RX0202X | Internal Medicine - Medical Oncology | 43222 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner North Colorado Medical Center | Greeley, CO | Hospital |
| Banner North Co Medical Center - Loveland Campus | Loveland, CO | Hospital |
| Banner Fort Collins Medical Center | Fort collins, CO | Hospital |
| Poudre Valley Hospital | Fort collins, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner Hospital Based Physicians Colorado Llc | 6800031386 | 82 |
| Entity Name | Banner Hospital Based Physicians Colorado LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154679637 PECOS PAC ID: 6800031386 Enrollment ID: O20130404000393 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samuel A Shelanski, MD 2000 N Boise Ave, Loveland, CO 80538 Ph: (970) 810-3894 | Dr Samuel A Shelanski, MD 2000 N Boise Ave, Loveland, CO 80538 Ph: (970) 810-3894 |
Dr. Christopher E Jones, MD, PHD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 Rocky Mountain Ave, Loveland, CO 80538 Phone: 970-624-2500 |
Dr. William Lopez Jr., M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2500 Rocky Mountain Ave, North Medical Office Building, Loveland, CO 80538 Phone: 970-203-7050 Fax: 970-203-7055 |
Stephen L Burgert, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2555 E 13th St, Suite 220, Loveland, CO 80537 Phone: 970-669-5432 Fax: 970-461-6275 |
Karyn P Leible, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1303 E 11th St, Loveland, CO 80537 Phone: 970-800-5402 Fax: 970-669-6076 |
Dr. Edward Eugene Grosboll, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4808 Elm Ct, Loveland, CO 80538 Phone: 970-669-7034 |
Esther Liu Mondo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Boise Ave, Loveland, CO 80538 Phone: 970-810-3894 |
Dr. Victoria L Moffatt, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2555 E 13th St, Suite 110, Loveland, CO 80537 Phone: 970-820-4264 Fax: 970-820-4278 |