| Rangely Family Medicine | |
|
225 Eagle Crest Drive Rangely CO 81648-2109 | |
| (970) 675-5011 | |
| Not Available |
| Full Name | Rangely Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 225 Eagle Crest Drive, Rangely, Colorado |
| Authorized Official Name and Position | Kyle Wren (CEO) |
| Authorized Official Contact | 9706755011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rangely Family Medicine 225 Eagle Crest Drive Rangely CO 81648-2109 Ph: (970) 675-5011 | Rangely Family Medicine 225 Eagle Crest Drive Rangely CO 81648-2109 Ph: (970) 675-5011 |
| NPI Number | 1730108747 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 12/10/2021 |
| Medicare PECOS PAC ID | 6103714175 |
|---|---|
| Medicare Enrollment ID | O20040310000452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730108747 | NPI | - | NPPES |
| 04997045 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Albert R Krueger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134233349 PECOS PAC ID: 5294838116 Enrollment ID: I20070314000464 |
| Provider Name | Timothy Y Hsu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396757555 PECOS PAC ID: 9436257540 Enrollment ID: I20070612000787 |
| Provider Name | Charles K Sutton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730318098 PECOS PAC ID: 3678738846 Enrollment ID: I20151205000208 |
| Provider Name | Tessa M Beal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700148525 PECOS PAC ID: 8224335666 Enrollment ID: I20160329002726 |
| Provider Name | Laramie Kate Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356935308 PECOS PAC ID: 4082849211 Enrollment ID: I20210323000945 |
| Provider Name | Tyler J Morwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881184687 PECOS PAC ID: 0244669323 Enrollment ID: I20220217002900 |
| Provider Name | Jianwei Chang Dillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699447714 PECOS PAC ID: 7618361593 Enrollment ID: I20220221000030 |
| Provider Name | Tyson Alan Torgersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437713716 PECOS PAC ID: 5890029904 Enrollment ID: I20220731000008 |
| Provider Name | Marissa Hewitt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750434981 PECOS PAC ID: 6305813072 Enrollment ID: I20240130001024 |
Rangely Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 225 Eagle Crest Dr, Rangely, CO 81648 Phone: 970-675-5011 |