| Kelsey Gross, PA | |
|
2101 Main St, Longmont, CO 80501-1406 | |
| (720) 745-8030 | |
| (720) 745-8031 |
| Full Name | Kelsey Gross |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 2101 Main St, Longmont, 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 |
|---|---|---|---|
| 1104487875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA.0006453 (Colorado) | Primary |
| 363AM0700X | Physician Assistant - Medical | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Longs Peak Hospital | Longmont, CO | Hospital |
| Medical Center Of The Rockies | Loveland, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Poudre Valley Medical Group Llc | 9638208549 | 2425 |
| Entity Name | Emergency Physicians of the Rockies, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174570717 PECOS PAC ID: 0345232492 Enrollment ID: O20040401001494 |
| Entity Name | Alpine Ear Nose and Throat PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790720464 PECOS PAC ID: 9436127032 Enrollment ID: O20040921001320 |
| 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 |
|---|---|
| Kelsey Gross, PA 2101 Main St, Longmont, CO 80501-1406 Ph: (720) 745-8030 | Kelsey Gross, PA 2101 Main St, Longmont, CO 80501-1406 Ph: (720) 745-8030 |
Danielle Pohlit, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1925 Mountain View Ave, Longmont, CO 80501 Phone: 720-718-3900 Fax: 720-718-0999 |
Camille Gannon, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2017 100 Yearparty Ct # 80504, Longmont, CO 80504 Phone: 303-848-3800 |
John P Hundley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2900 Peak Ave, Longmont, CO 80504 Phone: 720-718-8990 Fax: 720-718-8999 |
Carter J Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1610 Dry Creek Dr, Longmont, CO 80503 Phone: 303-772-1600 Fax: 303-772-9317 |
Jason D Schmidthuber, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1079 S Hover St Ste 200, Longmont, CO 80501 Phone: 303-645-4241 Fax: 720-790-7053 |
Page Marie Sherrill, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 220 E Rogers Rd, Longmont, CO 80501 Phone: 303-697-2583 |
Susan Graham, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1308 Vivian St, Longmont, CO 80501 Phone: 800-628-7828 |