| Dr Trevin J Cardon, DO | |
|
1000 Lincoln St, Fort Morgan, CO 80701-3290 | |
| (970) 867-3391 | |
| Not Available |
| Full Name | Dr Trevin J Cardon |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 8 Years |
| Location | 1000 Lincoln St, Fort Morgan, 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 |
|---|---|---|---|
| 1720584246 | NPI | - | NPPES |
| 9000162665 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | DR.0063055 (Colorado) | Primary |
| 207Q00000X | Family Medicine | DR.0063055 (Colorado) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Colorado Plains Medical Center | Fort morgan, CO | Hospital |
| Poudre Valley Hospital | Fort collins, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Catholic Health Initiatives Colorado | 8022927342 | 1266 |
| Entity Name | Poudre Valley Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760492714 PECOS PAC ID: 7618880709 Enrollment ID: O20031105000791 |
| Entity Name | Catholic Health Initiatives Colorado |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
| Entity Name | Colorado Plains Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821042409 PECOS PAC ID: 4082628706 Enrollment ID: O20060202000338 |
| Entity Name | Portercare Adventist Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760761928 PECOS PAC ID: 0941110886 Enrollment ID: O20090115000327 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Trevin J Cardon, DO Po Box 800022 1025 Pennock Place, Kansas City, MO 64180-0001 Ph: (800) 953-0104 | Dr Trevin J Cardon, DO 1000 Lincoln St, Fort Morgan, CO 80701-3290 Ph: (970) 867-3391 |