| Elisabeth Marta Kuper, MD | |
|
265 Tanglewood Ln, E1, Silverthorne, CO 80498 | |
| (970) 468-1003 | |
| (970) 262-2196 |
| Full Name | Elisabeth Marta Kuper |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 265 Tanglewood Ln, E1, Silverthorne, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952509457 | NPI | - | NPPES |
| 1196321 | Other | ID | MEDICARE PTAN |
| 807773500 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MR-0938 (Idaho) | Secondary |
| 207Q00000X | Family Medicine | M-10576 (Idaho) | Primary |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Elisabeth Marta Kuper, MD Po Box 1292, Frisco, CO 80443-1292 Ph: (970) 668-1791 | Elisabeth Marta Kuper, MD 265 Tanglewood Ln, E1, Silverthorne, CO 80498 Ph: (970) 468-1003 |
Dr. Benjamin T Cole, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 265 Tanglewood Lane, Suite E-1, Silverthorne, CO 80498 Phone: 970-468-1003 Fax: 970-262-2196 | |
Genevieve Mari Syed, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 265 Tanglewood Drive, Silverthorne, CO 80498 Phone: 970-468-1003 Fax: 970-262-2196 | |
Kirsten Buck Goble, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 265 Tanglewood Lane, Suite E-1, Silverthorne, CO 80498 Phone: 970-468-1003 Fax: 970-262-2196 | |
Tanja Britton, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 265 Tanglewood Drive, Ste. E-1, Silverthorne, CO 80498 Phone: 970-468-1003 Fax: 970-262-2196 | |
Larry E. George, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 265 Tanglewood Drive, Ste. E-1, Silverthorne, CO 80498 Phone: 970-468-1003 Fax: 970-262-2196 |