| Alex M Jung, | |
|
1650 Cochrane Cir Unit Meddac, Fort Carson, CO 80913-4604 | |
| (719) 526-7942 | |
| Not Available |
| Full Name | Alex M Jung |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1650 Cochrane Cir Unit Meddac, Fort Carson, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265167373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 6930 (North Carolina) | Primary |
| 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 |
|---|---|
| Alex M Jung, 1650 Cochrane Cir Unit Meddac, Fort Carson, CO 80913-4604 Ph: () - | Alex M Jung, 1650 Cochrane Cir Unit Meddac, Fort Carson, CO 80913-4604 Ph: (719) 526-7942 |
Mrs. Heather Ann Newman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 719-526-7943 | |
Charles M Warnement, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 719-526-7944 | |
Jessie-lee Luttenschlager, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir Unit Meddac, Fort Carson, CO 80913 Phone: 719-526-7000 | |
Jessica Ruth Walkup, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1650 Cochrane Cir # B7500, Fort Carson, CO 80913 Phone: 719-526-7192 | |
Roxanne Fischer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 719-526-7000 | |
William Schahn, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 719-526-7000 |