| Pamela Jesse Hutt, MD | |
|
1 Mercado Street - Suite 100, Durango, CO 81301-7300 | |
| (970) 385-7977 | |
| (970) 385-6727 |
| Full Name | Pamela Jesse Hutt |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Hematology-oncology |
| Location | 1 Mercado Street - Suite 100, Durango, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932159522 | NPI | - | NPPES |
| S3993 | Medicaid | NM | |
| 947848 | Medicaid | AZ | |
| T1024 | Medicaid | UT | |
| 01356237 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0207X | Pediatrics - Pediatric Hematology-oncology | 35623 (Colorado) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Jesse Hutt, MD 11 Animas Pl, Durango, CO 81301-4339 Ph: (970) 259-8308 | Pamela Jesse Hutt, MD 1 Mercado Street - Suite 100, Durango, CO 81301-7300 Ph: (970) 385-7977 |
Lauren Alexandra Laqua, CPNP-PC Pediatrics Medicare: Medicare Enrolled Practice Location: 29423 Highway 160, Durango, CO 81301 Phone: 970-259-7337 | |
Dr. Kimberly J Caruso, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 810 East 3rd St, Suite #301, Pediatric Partners Of The Southwest, Durango, CO 81301 Phone: 970-375-0100 Fax: 970-375-9210 | |
Dr. Kristen C Roessler, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 281 Sawyer Dr Ste 100, Durango, CO 81303 Phone: 970-259-2162 | |
Dr. David Alexander Maclaurin, MD, MPH Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 810 E 3rd St Unit 301, Durango, CO 81301 Phone: 970-375-0100 | |
Dr. Whitney W Pack, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1199 Main Ave, Suite 205, Durango, CO 81301 Phone: 970-259-7337 Fax: 970-259-7366 | |
Jessica Marsh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 810 E 3rd St Unit 301, Durango, CO 81301 Phone: 970-375-0100 | |
Robert Mcgrath, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1810 E 3rd Ave, Ste 101, Durango, CO 81301 Phone: 970-247-4567 Fax: 970-533-7310 |