| Katje Marie Lerew Musgrave, DO | |
|
4650 Signal Tree Dr Unit B200, Timnath, CO 80547-4911 | |
| (970) 821-3830 | |
| Not Available |
| Full Name | Katje Marie Lerew Musgrave |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 4650 Signal Tree Dr Unit B200, Timnath, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144420787 | NPI | - | NPPES |
| 432680799 | Medicaid | ME | |
| 44931549 | Medicaid | CO | |
| NONE | Other | ME | RESIDENT-NO PROV # |
| NMAAA2425 | Other | CO | MEDICARE ID |
| Entity Name | Banner Health Physicians Colorado Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073899134 PECOS PAC ID: 8921273038 Enrollment ID: O20111219000237 |
| Mailing Address | Practice Location Address |
|---|---|
| Katje Marie Lerew Musgrave, DO 500 Westover Dr # 16969, Sanford, NC 27330-8941 Ph: (505) 470-7498 | Katje Marie Lerew Musgrave, DO 4650 Signal Tree Dr Unit B200, Timnath, CO 80547-4911 Ph: (970) 821-3830 |
Dr. Robert T Kelley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4650 Signal Tree Dr Ste 1200, Timnath, CO 80547 Phone: 970-237-7415 Fax: 970-237-7420 | |
Shannon Salerno, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4650 Signal Tree Dr Ste 1200, Timnath, CO 80547 Phone: 970-237-7415 Fax: 970-237-7420 | |
Dr. Marilu Orozco-peterson, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4650 Signal Tree Dr Ste 1200, Timnath, CO 80547 Phone: 970-237-7415 Fax: 970-237-7420 |