| Enrico John Versace, MD | |
|
310 County Road 14, Rio Grande Hospital, Del Norte, CO 81132-8719 | |
| (719) 657-4102 | |
| (719) 657-4106 |
| Full Name | Enrico John Versace |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 34 Years |
| Location | 310 County Road 14, Del Norte, 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 |
|---|---|---|---|
| 1699740480 | NPI | - | NPPES |
| 53518 | Other | CO | CO LICENSE |
| 47105348 | Medicaid | CO |
| Facility Name | Location | Facility Type |
|---|---|---|
| Continuum Home Care & Hospice | Jacksonville, NC | Hospice |
| Onslow Memorial Hospital | Jacksonville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Onslow Memorial Hospital Inc | 1456252899 | 56 |
| Apogee Medical Group North Carolina | 7719162254 | 82 |
| Entity Name | Onslow Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679535496 PECOS PAC ID: 1456252899 Enrollment ID: O20040119000016 |
| Entity Name | Cogent Healthcare Of North Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548207483 PECOS PAC ID: 7911954714 Enrollment ID: O20050404001057 |
| Entity Name | Hospitalist Medicine Physicians Of North Carolina Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164724902 PECOS PAC ID: 0143409185 Enrollment ID: O20110124000754 |
| Entity Name | Apogee Medical Group North Carolina |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043518228 PECOS PAC ID: 7719162254 Enrollment ID: O20110427000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Enrico John Versace, MD 310 County Road 14, Rio Grande Hospital, Del Norte, CO 81132-8719 Ph: (719) 657-4102 | Enrico John Versace, MD 310 County Road 14, Rio Grande Hospital, Del Norte, CO 81132-8719 Ph: (719) 657-4102 |
Conrad W Fitz, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1280 Grand Ave, Del Norte, CO 81132 Phone: 719-657-2418 Fax: 719-657-3317 |