| Gary James Tackling, MD | |
|
1950 Mountain View Ave, Longmont, CO 80501-3129 | |
| (303) 485-3066 | |
| (303) 485-3060 |
| Full Name | Gary James Tackling |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 9 Years |
| Location | 1950 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 |
|---|---|---|---|
| 1598299141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME145962 (Florida) | Secondary |
| 207R00000X | Internal Medicine | DR.0067063 (Colorado) | Secondary |
| 208M00000X | Hospitalist | DR.0067063 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Longmont United Hospital | Longmont, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Catholic Health Initiatives Colorado | 8022927342 | 1231 |
| Entity Name | Catholic Health Initiatives Colorado |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
| Entity Name | Portercare Adventist Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760761928 PECOS PAC ID: 0941110886 Enrollment ID: O20090115000327 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary James Tackling, MD 1005 Mar Walt Drive, Fort Walton Beach, FL 32547-6707 Ph: (850) 863-8100 | Gary James Tackling, MD 1950 Mountain View Ave, Longmont, CO 80501-3129 Ph: (303) 485-3066 |
Christopher Andrew Koerber, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1750 E Ken Pratt Blvd, Longmont, CO 80504 Phone: 720-718-7000 | |
Robert J Moffat, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1925 W Mountain View Ave, Longmont, CO 80501 Phone: 303-776-1234 Fax: 720-494-3107 | |
Dr. Sahar Abdallah Abdelqader, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2101 Ken Pratt Blvd Ste 200, Longmont, CO 80501 Phone: 303-649-3500 Fax: 303-649-3501 | |
Mark Bridenstine, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1925 Mountain View Ave, Longmont, CO 80501 Phone: 720-494-3119 | |
Dr. Wendy C Carle, Hospitalist Medicare: Medicare Enrolled Practice Location: 1925 Mountain View Ave, Longmont, CO 80501 Phone: 303-776-1234 Fax: 720-494-3107 | |
Dr. Jill Denise Murphey, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2345 Bent Way, Longmont, CO 80503 Phone: 303-338-4545 | |
Dr. Roland K Kafuuma, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1950 Mountain View Ave Ste 250, Longmont, CO 80501 Phone: 303-651-5111 Fax: 303-485-4240 |