Traci Wilke (NPI# 1679832489, PAC ID# 2466601935) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1679832489 |
PAC ID by PECOS | 2466601935 |
Professional Enrollment ID | I20120927000750 |
Full Name | Traci Wilke |
Organization Legal Name | DERMATOLOGY OF NORTHERN COLORADO P.C. |
Address |
3726 S Timberline Rd Suite 101 Fort Collins CO 80524 |
Phone Number | 9702215795 |
Gender | F |
Graduation Year | 2002 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 4587632120 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1100 Poudre River Dr, Unit A, Fort Collins, CO 80524-3557 | 9704843050 | ADVANCED DERMATOLOGY OF COLORADO PC |
3726 S Timberline Rd, Suite 101, Fort Collins, CO 80524 | 9702215795 | DERMATOLOGY OF NORTHERN COLORADO P.C. |
Organization Legal Name | DERMATOLOGY OF NORTHERN COLORADO P.C. |
Physicians | 1 |
Street Address |
3726 S TIMBERLINE RD SUITE 101 |
City | FORT COLLINS |
State | CO |
Zip | 80524 |
Name | Specialty | Organization | Address |
---|---|---|---|
Anne Lise A Hultsch | Dermatology | Advanced Dermatology of Colorado PC | 3726 S Timberline Rd, Suite 101, Fort Collins, CO 80525-4332 |
Barbara West | Dermatology | Advanced Dermatology of Colorado PC | 3726 S Timberline Rd, Suite 101, Fort Collins, CO 80525-4332 |
Cynthia S Vigil | Audiologist | Whitney Swander Audiology, Inc | 3726 S Timberline Rd, 103 Hearing Healthcare Centers, Fort Collins, CO 80525-4332 |
Name | Specialty | Organization | Address |
---|---|---|---|
Renee T Dutcher | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
Stephanie J Speetzen | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
Lori Jean Croft | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
Allison Margaret Oleary Williams | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
Amy Jeanne Hartley | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
Lindsay B Wilson | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
Carole Way | Nurse Practitioner | The Little Clinic of Colorado LLC | 1842 N College Ave, Suite 3, Fort Collins, CO 80524-1333 |
Chelsea N Andrews | Clinical Social Worker | Summitstone Health Partners | 114 Bristlecone Dr, Fort Collins, CO 80524-2031 |
Charles L Miller | Clinical Social Worker | Summitstone Health Partners | 114 Bristlecone Dr, Fort Collins, CO 80524-2031 |
Jessica M Coe | Clinical Social Worker | Summitstone Health Partners | 242 Conifer St, Fort Collins, CO 80524-2043 |
Find all physicians in zip 80524 |
City | FORT COLLINS |
Zip Code | 80524 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | FORT COLLINS + PHYSICIAN ASSISTANT |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.