| Dr Jason L Bourland, MD | |
|
1375 E 19th Ave, Denver, CO 80218-1114 | |
| (303) 338-4545 | |
| (303) 344-7715 |
| Full Name | Dr Jason L Bourland |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 15 Years |
| Location | 1375 E 19th Ave, Denver, 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 |
|---|---|---|---|
| 1316232945 | NPI | - | NPPES |
| 83000259 | Medicaid | CO | |
| 028946 | Other | CO | KAISER COMMERCIAL NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | DR.0056252 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Hospital | Eureka, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Medical Foundation | 8921993205 | 1329 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jason L Bourland, MD 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: (303) 338-4545 | Dr Jason L Bourland, MD 1375 E 19th Ave, Denver, CO 80218-1114 Ph: (303) 338-4545 |
Paul William Schadler, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1202 5th St, Plaza Building, Suite 150, Denver, CO 80204 Phone: 303-556-2525 Fax: 303-556-3881 | |
Dr. Rochelle Ravishankara, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1375 E 19th Ave, Denver, CO 80218 Phone: 303-338-4545 | |
Graham S Ingalsbe, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Bannock St, Denver, CO 80204 Phone: 303-602-5183 | |
Cecilia Sorensen, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Bannock St, Denver, CO 80204 Phone: 303-436-6000 | |
Lauran Wirfs, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5250 Leetsdale Dr, Denver, CO 80246 Phone: 303-629-5293 | |
Dr. David Pettit, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Dept #0861, Denver, CO 80256 Phone: 866-898-7136 Fax: 616-975-9824 | |
Alan J. Como, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1719 E 19th Ave, Denver, CO 80218 Phone: 303-839-7111 Fax: 303-306-7753 |