| Sally Linda Fabec, MD | |
|
134 W Main St, Suite 11, Trinidad, CO 81082-2604 | |
| (719) 846-4433 | |
| (719) 846-9500 |
| Full Name | Sally Linda Fabec |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 134 W Main St, Trinidad, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427093111 | NPI | - | NPPES |
| 010014335 | Other | PALMETTO GBA | |
| 01207422 | Medicaid | CO | |
| 010358000 | Other | BLACK LUNG |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20742 (Colorado) | Primary |
| Entity Name | Trinidad Area Health Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467400309 PECOS PAC ID: 2769394055 Enrollment ID: O20031111000178 |
| Mailing Address | Practice Location Address |
|---|---|
| Sally Linda Fabec, MD 134 W Main St, Ste 11, Trinidad, CO 81082-2604 Ph: (719) 846-4433 | Sally Linda Fabec, MD 134 W Main St, Suite 11, Trinidad, CO 81082-2604 Ph: (719) 846-4433 |
Elizabeth E Stewart, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 400 Benedicta Ave, Suite A, Trinidad, CO 81082 Phone: 719-846-2206 | |
Valerie Jean Borsa, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 409 Benedicta Ave, Suite A, Trinidad, CO 81082 Phone: 719-846-8478 Fax: 719-846-2941 | |
Precious Sheryll Castro-flores, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Benedicta Ave, Ste A, Trinidad, CO 81082 Phone: 719-846-2206 Fax: 719-846-7823 |