| Rebecca Chettri, | |
|
355 Eldorado Blvd Unit 341, Broomfield, CO 80021-3689 | |
| (612) 900-8718 | |
| Not Available |
| Full Name | Rebecca Chettri |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 18 Years |
| Location | 355 Eldorado Blvd Unit 341, Broomfield, Colorado |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457706160 | NPI | - | NPPES |
| Q072768 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 28124 (Nevada) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 64751 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Morristown Hamblen Hospital Association | Morristown, TN | Hospital |
| Maury Regional Hospital | Columbia, TN | Hospital |
| Parkwest Medical Center | Knoxville, TN | Hospital |
| Roane Medical Center | Harriman, TN | Hospital |
| Leconte Medical Center | Sevierville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Radiology Associates Pllc | 7214913649 | 35 |
| Vista Radiology, Pc | 9234041559 | 62 |
| Entity Name | Union Hospital Of Cecil County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124067848 PECOS PAC ID: 6901719822 Enrollment ID: O20180918002148 |
| Entity Name | Vista Radiology, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386698710 PECOS PAC ID: 9234041559 Enrollment ID: O20200414002083 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Chettri, 355 Eldorado Blvd Unit 341, Broomfield, CO 80021-3689 Ph: (612) 900-8718 | Rebecca Chettri, 355 Eldorado Blvd Unit 341, Broomfield, CO 80021-3689 Ph: (612) 900-8718 |
Merlyn D Gibson, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1765 Tiverton Ave, Broomfield, CO 80023 Phone: 952-595-1100 Fax: 612-294-4903 |