| Doraelia Quiroz Balderas, FNP-BC | |
|
902 Lowell Dr, Rocky Ford, CO 81067-2104 | |
| (830) 719-8219 | |
| (719) 697-1758 |
| Full Name | Doraelia Quiroz Balderas |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 902 Lowell Dr, Rocky Ford, 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 |
|---|---|---|---|
| 1184445405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1000688 (Colorado) | Primary |
| 163W00000X | Registered Nurse | 0185371 (Colorado) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prowers Medical Center | Lamar, CO | Hospital |
| Arkansas Valley Regional Medical Center | La junta, CO | Hospital |
| Lamar Estates, Llc | Lamar, CO | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lykos Medical Llc | 0941558035 | 19 |
| Mws Wound Solutions Llc | 2567801541 | 5 |
| Entity Name | Lykos Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215423124 PECOS PAC ID: 0941558035 Enrollment ID: O20180806003125 |
| Mailing Address | Practice Location Address |
|---|---|
| Doraelia Quiroz Balderas, FNP-BC 902 Lowell Dr, Rocky Ford, CO 81067-2104 Ph: (830) 719-8219 | Doraelia Quiroz Balderas, FNP-BC 902 Lowell Dr, Rocky Ford, CO 81067-2104 Ph: (830) 719-8219 |
Mrs. Heather A Elliott, MSN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1014 Elm Ave, Rocky Ford, CO 81067 Phone: 719-254-7421 Fax: 719-254-6966 | |
Jenna White, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26433 Cr Gg, Rocky Ford, CO 81067 Phone: 719-999-9999 | |
Mr. Douglas Dean Miller, MSN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1014 Elm Ave, Rocky Ford, CO 81067 Phone: 719-254-7421 Fax: 719-254-6966 | |
Sariah Anne Berg, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1014 Elm Ave, Rocky Ford, CO 81067 Phone: 719-254-7421 Fax: 833-630-1108 |