| Larry Croft Munch, MD | |
|
2750 Broadway St, Boulder, CO 80304-3573 | |
| (303) 440-3093 | |
| (303) 440-3161 |
| Full Name | Larry Croft Munch |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 42 Years |
| Location | 2750 Broadway St, Boulder, 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 |
|---|---|---|---|
| 1205836889 | NPI | - | NPPES |
| 200333830A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 01055149A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Medical Center | Ashland, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Medical Center Inc | 8022000447 | 44 |
| Entity Name | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Entity Name | Beaver Dam Community Hospitals Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972188555 PECOS PAC ID: 2567370539 Enrollment ID: O20040210000666 |
| Entity Name | Memorial Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437179231 PECOS PAC ID: 8022000447 Enrollment ID: O20040402000938 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Entity Name | Lakeview Medical Center Inc Of Rice Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1952890873 PECOS PAC ID: 5698071173 Enrollment ID: O20180904002962 |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Croft Munch, MD 2750 Broadway St, Boulder, CO 80304-3573 Ph: (303) 440-3093 | Larry Croft Munch, MD 2750 Broadway St, Boulder, CO 80304-3573 Ph: (303) 440-3093 |
John Christopher Kefer, MD PHD Urology Medicare: Accepting Medicare Assignments Practice Location: 4743 Arapahoe Ave, Suite 104, Boulder, CO 80303 Phone: 303-444-9000 Fax: 303-444-9073 | |
Tomy Yojan Perez, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2750 Broadway St, Boulder, CO 80304 Phone: 303-440-3000 | |
Dr. Gordon T Matsuda, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 3434 47th St, Suite 101, Boulder, CO 80301 Phone: 303-444-0840 Fax: 303-444-0838 | |
Maxx Gallegos, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 5495 Arapahoe Ave Ste 200, Boulder, CO 80303 Phone: 512-446-9486 | |
Dr. John Christopher Webster, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 4743 Arapahoe Ave, Boulder, CO 80303 Phone: 303-444-9000 Fax: 303-444-9073 | |
Stephen B Siegel, M. D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2750 Broadway St, Boulder, CO 80304 Phone: 303-440-3093 Fax: 303-440-3161 |