| Diana L Wright, PA-C | |
|
456 Kokopelli Blvd, Suite B, Fruita, CO 81521 | |
| (970) 639-9505 | |
| (970) 639-2993 |
| Full Name | Diana L Wright |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 456 Kokopelli Blvd, Suite B, Fruita, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881916401 | NPI | - | NPPES |
| 78357250 | Medicaid | CO | |
| 542099YYS0 | Other | CO | MEDICARE FOR CEDAR POINT HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA60371999 (Washington) | Secondary |
| 363A00000X | Physician Assistant | PA.0002968 (Colorado) | Primary |
| Entity Name | Cedar Point Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902804032 PECOS PAC ID: 0143119586 Enrollment ID: O20040312001011 |
| Entity Name | Colorado West Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780626069 PECOS PAC ID: 6103808035 Enrollment ID: O20040603001557 |
| 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 |
|---|---|
| Diana L Wright, PA-C 300 S Nevada Avenue, Montrose, CO 81401 Ph: (970) 249-7751 | Diana L Wright, PA-C 456 Kokopelli Blvd, Suite B, Fruita, CO 81521 Ph: (970) 639-9505 |
Donna Marie Cronk, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 281 N Plum St, Fruita, CO 81521 Phone: 970-858-9894 Fax: 970-858-1331 |
Mr. Harlan J. Bullinger, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 300 West Ottley Ave., Fruita, CO 81521 Phone: 970-858-3900 |
Sara Beth Blodgett, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 576 Kokopelli Blvd Unit D-e, Fruita, CO 81521 Phone: 970-858-2590 Fax: 970-858-5036 |
Mrs. Brenna Ann Sanislo, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 W Ottley Ave, Fruita, CO 81521 Phone: 970-858-2705 |
Ashley Marie Hardin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 281 N Plum St, Fruita, CO 81521 Phone: 970-858-9894 |
Sherrie K Mccoy, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1870 J Rd, Fruita, CO 81521 Phone: 970-778-2474 |
Eric W Frevert, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1488 18 Rd, Fruita, CO 81521 Phone: 719-480-9765 |