| Dr Steven D Resnick, MD | |
|
3575 Broadway St, Boulder, CO 80304-1825 | |
| (303) 449-0933 | |
| (303) 447-0794 |
| Full Name | Dr Steven D Resnick |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 3575 Broadway St, Boulder, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124083456 | NPI | - | NPPES |
| 37125036 | Medicaid | CO | |
| 01576365 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 199481 (New York) | Secondary |
| 207N00000X | Dermatology | 0058506 (Colorado) | Primary |
| Entity Name | Integrated Dermatology Of Boulder Creek Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790145183 PECOS PAC ID: 8921306762 Enrollment ID: O20160412002052 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Steven D Resnick, MD 3575 Broadway St, Boulder, CO 80304-1825 Ph: (303) 449-0933 | Dr Steven D Resnick, MD 3575 Broadway St, Boulder, CO 80304-1825 Ph: (303) 449-0933 |
Shawn B Allen, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2880 Folsom St Ste 200, Boulder, CO 80304 Phone: 303-442-6647 Fax: 303-442-2696 | |
Mr. William Crane Fix, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3434 47th St Ste 200, Boulder, CO 80301 Phone: 303-444-8100 | |
John R Steinbaugh, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3575 Broadway St, Boulder, CO 80304 Phone: 303-449-0933 Fax: 303-447-0794 | |
Dr. Brian N Bailey, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1230 Chambers Dr, Boulder, CO 80305 Phone: 303-666-8288 | |
Lindsay Nicole Boyers, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2750 Broadway St, Boulder, CO 80304 Phone: 303-440-3013 Fax: 303-440-3178 | |
Steven R Hong, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2750 Broadway St, Boulder, CO 80304 Phone: 303-440-3000 |