| Matthew G Wark, PAC | |
|
711 N Taylor St, Gunnison, CO 81230-2243 | |
| (970) 641-1456 | |
| Not Available |
| Full Name | Matthew G Wark |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 711 N Taylor St, Gunnison, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720228935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 7541 (Arizona) | Secondary |
| 363A00000X | Physician Assistant | PA.0004357 (Colorado) | Primary |
| Entity Name | Lutheran Hospital Association of the San Luis Valley |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235181744 PECOS PAC ID: 4789589094 Enrollment ID: O20031201000318 |
| Entity Name | Gunnison Valley Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932109048 PECOS PAC ID: 8426040486 Enrollment ID: O20040331000463 |
| Entity Name | Gunnison Valley Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1932109048 PECOS PAC ID: 8426040486 Enrollment ID: O20110414000250 |
| Entity Name | Innova Emergency Medical Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295178978 PECOS PAC ID: 2860633435 Enrollment ID: O20130724000195 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew G Wark, PAC 711 N Taylor St, Gunnison, CO 81230-2296 Ph: (970) 641-1456 | Matthew G Wark, PAC 711 N Taylor St, Gunnison, CO 81230-2243 Ph: (970) 641-1456 |
Nicol Campbell Talbert, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 130 E Virginia Ave, Gunnison, CO 81230 Phone: 970-641-0211 |
Mrs. Julia Muzzarelli Mochulsky, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 112 W Spencer Ave, Suite A, Gunnison, CO 81230 Phone: 970-641-6788 Fax: 970-641-0282 |
Mr. Tyler Andrew Leonard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 711 N Taylor St, Gunnison, CO 81230 Phone: 970-641-1456 Fax: 970-641-4461 |
Gregory F Holley, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 707 North Taylor, Gunnison, CO 81230 Phone: 970-641-1399 Fax: 970-641-9017 |
Dusty V Hamilton, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 707 N Iowa St, Gunnison, CO 81230 Phone: 970-642-8413 Fax: 970-641-9017 |
Kara Lynn Gehan, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1198 N Main St Unit C, Gunnison, CO 81230 Phone: 970-497-4921 Fax: 855-855-4482 |
Danny J Browning, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 711 N Taylor St, Gunnison, CO 81230 Phone: 970-641-4355 Fax: 970-641-0377 |