| Michael Emile Guillette, PAC | |
|
2577 Main Ave, Durango, CO 81301-5919 | |
| (970) 247-8382 | |
| (970) 259-4403 |
| Full Name | Michael Emile Guillette |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 30 Years |
| Location | 2577 Main Ave, Durango, Colorado |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174512115 | NPI | - | NPPES |
| L8806 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 889 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital | Durango, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Durango Urgent Care Llc | 9335141266 | 18 |
| Aztec Urgent Care, Llc | 7810189016 | 17 |
| Entity Name | Durango Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154354512 PECOS PAC ID: 9335141266 Enrollment ID: O20070319000364 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Emile Guillette, PAC 2577 Main Ave, Durango, CO 81301-5919 Ph: (970) 247-8382 | Michael Emile Guillette, PAC 2577 Main Ave, Durango, CO 81301-5919 Ph: (970) 247-8382 |
Michelle Ann Archer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 575 Rivergate Ln Unit 105, Durango, CO 81301 Phone: 970-259-3020 |
Christopher A Stewart, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2577 Main Ave, Durango, CO 81301 Phone: 970-247-8382 Fax: 970-259-4403 |
Peter E Jamieson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Mercado St, Suite 202, Durango, CO 81301 Phone: 970-247-5362 Fax: 970-259-6045 |
Mr. Benjamin Donald Reetz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2577 Main Ave, Durango, CO 81301 Phone: 970-247-8382 |
Lexi Kathryn Querio, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 810 E 3rd St, Suite 201, Durango, CO 81301 Phone: 970-764-1790 Fax: 970-375-7927 |
Natalie Stilwell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 575 Rivergate Ln Unit 205, Durango, CO 81301 Phone: 970-259-5990 |
Jessica Harrison, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1201 Main Ave, Suite 203, Durango, CO 81301 Phone: 970-403-0555 Fax: 970-403-0556 |