| Tiffany Marie Willard, MD | |
|
1400 E Boulder St, Suite 600, Colorado Springs, CO 80909-5533 | |
| (719) 364-6487 | |
| (719) 364-6488 |
| Full Name | Tiffany Marie Willard |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 23 Years |
| Location | 1400 E Boulder St, 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 |
|---|---|---|---|
| 1396769436 | NPI | - | NPPES |
| 20634064 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | DR.0046934 (Colorado) | Secondary |
| 2086S0102X | Surgery - Surgical Critical Care | DR.0046934 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary Corwin Med Ctr, Centura Health | Pueblo, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Catholic Health Initiatives Colorado | 8022927342 | 1231 |
| 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 |
| 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 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190517001824 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Marie Willard, MD 2695 Rocky Mountain Ave Ste 150, Loveland, CO 80538-9071 Ph: (970) 624-2412 | Tiffany Marie Willard, MD 1400 E Boulder St, Suite 600, Colorado Springs, CO 80909-5533 Ph: (719) 364-6487 |
Khurram Ahmad Khan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1633 Medical Center Point, Colorado Springs, CO 80907 Phone: 719-475-9800 Fax: 719-473-5436 | |
Thomas J. Schroeppel, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St, Suite 600, Colorado Springs, CO 80909 Phone: 719-364-6487 Fax: 719-364-6488 | |
Dr. Amilu Rothhammer, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1633 Medical Center Pt, Colorado Springs, CO 80907 Phone: 719-475-9800 | |
Dr. Lisa Lynn Schlitzkus, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St Ste 500, Colorado Springs, CO 80909 Phone: 719-364-6487 | |
Gregory Carlson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St, Suite 600, Colorado Springs, CO 80909 Phone: 719-365-6487 Fax: 719-364-6488 | |
Dr. John Lindley Frerichs, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 4925 N Nevada Ave, Room 416, Colorado Springs, CO 80918 Phone: 719-425-0933 | |
Dr. William C Chambers Jr., M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2222 N Nevada Ave, Suite 5017, Colorado Springs, CO 80907 Phone: 719-635-2501 Fax: 719-632-1062 |