| Jeffrey Thomas Owsley, DO | |
|
750 Hospital Loop, Craig, CO 81625-8750 | |
| (702) 453-3799 | |
| (702) 453-5741 |
| Full Name | Jeffrey Thomas Owsley |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 13 Years |
| Location | 750 Hospital Loop, Craig, 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 |
|---|---|---|---|
| 1740629898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | DR0056908 (Colorado) | Secondary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | DR.0056908 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lutheran Medical Center | Wheat ridge, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intermountain Medical Group Denver, Llc | 0840513552 | 454 |
| Cancer Centers Of Colorado, Llc | 8022376128 | 2 |
| Entity Name | Intermountain Medical Group Denver, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083021083 PECOS PAC ID: 0840513552 Enrollment ID: O20150106000131 |
| Entity Name | Cancer Centers Of Colorado, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114439924 PECOS PAC ID: 8022376128 Enrollment ID: O20171219001462 |
| Entity Name | Platte Valley Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922812593 PECOS PAC ID: 5890054100 Enrollment ID: O20180112000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Thomas Owsley, DO Po Box 18884, Denver, CO 80218-0884 Ph: (702) 453-3799 | Jeffrey Thomas Owsley, DO 750 Hospital Loop, Craig, CO 81625-8750 Ph: (702) 453-3799 |
Dr. Gerald I Myers, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 750 Hospital Loop, Craig, CO 81625 Phone: 702-453-3799 Fax: 702-453-5741 |