| Theresa Northern, DO | |
|
1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 | |
| (719) 365-6999 | |
| (719) 365-2837 |
| Full Name | Theresa Northern |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 18 Years |
| Location | 1400 E Boulder St Ste 2508, Colorado Springs, 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 |
|---|---|---|---|
| 1326206210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 2025 (Alabama) | Secondary |
| 207L00000X | Anesthesiology | OS 14050 (Florida) | Secondary |
| 207L00000X | Anesthesiology | MSDR.0000004 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uch-memorial Health System | Colorado springs, CO | Hospital |
| Uchealth Grandview Hospital | Colorado springs, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Poudre Valley Medical Group Llc | 9638208549 | 1992 |
| Entity Name | Parkview Ancillary Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982878765 PECOS PAC ID: 4385722511 Enrollment ID: O20080429000248 |
| Entity Name | Poudre Valley Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Northern, DO 2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071 Ph: (970) 624-4034 | Theresa Northern, DO 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 Ph: (719) 365-6999 |
Dr. Lee Tan Wolfe, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 222 N Nevada Ave, Colorado Springs, CO 80907 Phone: 719-776-5142 Fax: 719-776-5827 | |
Christopher D Chinn, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4090 Briargate Pkwy, Colorado Springs, CO 80920 Phone: 720-777-1234 | |
Dr. Cody Joseph Estler, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St Ste 1183, Colorado Springs, CO 80909 Phone: 719-365-6999 | |
Mr. Charles Herbert Ripp, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8540 Scarborough Dr, Suite 370, Colorado Springs, CO 80920 Phone: 719-358-8270 Fax: 719-358-8299 | |
Russell Allen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St, Colorado Springs, CO 80909 Phone: 719-365-6999 Fax: 719-365-2837 | |
Jennifer Kollman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St, Colorado Springs, CO 80909 Phone: 719-365-6999 Fax: 719-365-2837 | |
Dr. Michael J Wempe, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1615 Medical Center Pt, Colorado Springs, CO 80907 Phone: 719-544-1600 |