| Timothy Michael Durel, | |
|
1755 48th St Ste 200, Boulder, CO 80301-2712 | |
| (303) 415-7450 | |
| (303) 494-5265 |
| Full Name | Timothy Michael Durel |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 12 Years |
| Location | 1755 48th St Ste 200, Boulder, Colorado |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023438140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DR.0076486 (Colorado) | Primary |
| 207Q00000X | Family Medicine | 306658 (Louisiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ochsner Home Health Of Baton Rouge | Baton rouge, LA | Home health agency |
| Ochsner Medical Center - Baton Rouge | Baton rouge, LA | Hospital |
| Boulder Community Health | Boulder, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ochsner Clinic Llc | 8224933619 | 2838 |
| Boulder Community Health | 6800707233 | 253 |
| Entity Name | Ochsner Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Michael Durel, Po Box 9049, Boulder, CO 80301-9049 Ph: (303) 415-4101 | Timothy Michael Durel, 1755 48th St Ste 200, Boulder, CO 80301-2712 Ph: (303) 415-7450 |
Jill Siegfried, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2750 Broadway St, Boulder, CO 80304 Phone: 303-440-3000 | |
Stefan J. Chimoskey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3601 Arapahoe Ave, Unit D180, Boulder, CO 80303 Phone: 720-845-5858 Fax: 505-288-3642 | |
Karin Dejong Vanbaak, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5495 Arapahoe Ave, Boulder, CO 80303 Phone: 720-848-9200 | |
Dr. Peter C Ewing, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2995 Baseline Rd, Suite 210, Boulder, CO 80303 Phone: 303-443-2544 Fax: 303-443-6475 | |
Andrew James Mcbride, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1755 48th St Ste 200, Boulder, CO 80301 Phone: 303-415-7450 Fax: 303-494-5265 | |
Dr. Gary S. Kahn, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 995 Quince Ave, Boulder, CO 80304 Phone: 303-395-4321 |