| Tyler J Kemmis, MD | |
|
8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | |
| (303) 467-8903 | |
| (303) 467-8921 |
| Full Name | Tyler J Kemmis |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 20 Years |
| Location | 8300 W 38th Ave, Wheat Ridge, 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 |
|---|---|---|---|
| 1245430826 | NPI | - | NPPES |
| 83178279 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 48720 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lutheran Medical Center | Wheat ridge, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intermountain Front Range, Inc. | 6800799537 | 16 |
| Entity Name | Intermountain Front Range, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083444079 PECOS PAC ID: 6800799537 Enrollment ID: O20040130000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler J Kemmis, MD 500 Eldorado Blvd, Suite 6250, Broomfield, CO 80021-3408 Ph: (303) 272-0750 | Tyler J Kemmis, MD 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 Ph: (303) 467-8903 |
Wayne A Miller, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 8300 W 38th Ave, Wheat Ridge, CO 80033 Phone: 303-425-2015 | |
Eric A White, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 8300 W 38th Ave, Wheat Ridge, CO 80033 Phone: 303-425-2015 | |
Jill Vecchio, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 8300 W 38th Ave, Wheat Ridge, CO 80033 Phone: 303-425-2015 | |
Steven B Brown, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 8300 W 38th Ave, Wheat Ridge, CO 80033 Phone: 303-425-2015 | |
Bridget N Lauro, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8300 W 38th Ave, Wheat Ridge, CO 80033 Phone: 303-425-2015 | |
Robert D Hunter, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 8300 W 38th Ave, Wheat Ridge, CO 80033 Phone: 303-425-2015 | |
Dr. Sumit Mehta, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 8300 W 38th Ave, Wheat Ridge, CO 80033 Phone: 303-425-2015 |