| Richard H Moseley, MD | |
|
1755 48th St Ste 100, Boulder, CO 80301-2712 | |
| (303) 604-5000 | |
| (720) 890-0364 |
| Full Name | Richard H Moseley |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1755 48th St Ste 100, Boulder, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447343843 | NPI | - | NPPES |
| 4384140 | Medicaid | MI | |
| 72027746 | Medicaid | CO | |
| 1679966 | Medicaid | MI |
| Entity Name | Boulder Valley Gastroenterology Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902832603 PECOS PAC ID: 4688577174 Enrollment ID: O20040130001035 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard H Moseley, MD 382 S Arthur Ave, Louisville, CO 80027-3094 Ph: (303) 604-5000 | Richard H Moseley, MD 1755 48th St Ste 100, Boulder, CO 80301-2712 Ph: (303) 604-5000 |
Ms. Martha E Montour, RN Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 580 Mohawk Dr, Boulder, CO 80303 Phone: 303-440-2690 | |
Chester J Dreiman, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2562 Briarwood Dr, Boulder, CO 80305 Phone: 303-501-2195 | |
Pamela G Ingram, MSN Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 580 Mohawk Dr, Boulder, CO 80303 Phone: 303-554-5164 | |
Bradley D Fanestil, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4801 Riverbend Rd Ste 120b, Boulder, CO 80301 Phone: 303-415-8615 Fax: 303-293-0628 | |
Dr. Joseph Randall Lutt, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1840 Folsom St Ste 105, Boulder, CO 80302 Phone: 720-494-4706 Fax: 720-494-4706 | |
Dr. Amy O Campbell, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2880 Folsom St Ste 100, Boulder, CO 80304 Phone: 303-327-7047 Fax: 303-443-7168 | |
Wael F. Garas, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 5495 Arapahoe Ave Ste 100, Boulder, CO 80303 Phone: 303-415-4250 Fax: 303-440-9629 |