| Kelly Brook Lewis, MD | |
|
2351 G Rd, Grand Junction, CO 81505-9641 | |
| (970) 242-0920 | |
| Not Available |
| Full Name | Kelly Brook Lewis |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 2351 G Rd, Grand Junction, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750510400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | LL32025 (South Carolina) | Secondary |
| 207P00000X | Emergency Medicine | DR.0068466 (Colorado) | Primary |
| Entity Name | Tri-cities Regional Emergency Physicians, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063950046 PECOS PAC ID: 3678859477 Enrollment ID: O20170410002399 |
| Entity Name | Tri-cities Observation Services, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154860146 PECOS PAC ID: 3274819719 Enrollment ID: O20170417001080 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Brook Lewis, MD Po Box 1687, Grand Junction, CO 81502-1687 Ph: (970) 242-0920 | Kelly Brook Lewis, MD 2351 G Rd, Grand Junction, CO 81505-9641 Ph: (970) 242-0920 |
William Martin Hilty, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2635 N 7th St, Grand Junction, CO 81501 Phone: 970-298-1977 | |
Brad Neese, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2635 N 7th St, Grand Junction, CO 81501 Phone: 970-244-1977 | |
Caroline Lewis-stieglitz Damitog, ATC, LAT Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 North Ave, Grand Junction, CO 81501 Phone: 970-248-1548 | |
Dr. Peter Joseph Dahlheimer, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2635 N 7th St, St Mary's Hospital Emergency Department, Grand Junction, CO 81501 Phone: 970-244-1977 | |
Stacy Lynn Prescott, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2635 N 7th St, Grand Junction, CO 81501 Phone: 970-298-2551 | |
Elizabeth Ann Waters, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2121 North Ave, Grand Junction, CO 81501 Phone: 970-244-1321 Fax: 970-248-5595 | |
Dr. Diane Brown, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2635 N 7th St, Grand Junction, CO 81501 Phone: 970-244-2551 |