STEPHANIE M. DETTLEBACH M.D. – NPI #1629145990
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

STEPHANIE DETTLEBACH is a physician located in LONGMONT, CO. NPPES has assigned the NPI number 1629145990 to STEPHANIE DETTLEBACH on November 29, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 10 years ago on Jul 12, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STEPHANIE DETTLEBACH below.

NPI Profile for
STEPHANIE M. DETTLEBACH

NPI Number
1629145990
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
STEPHANIE M. DETTLEBACH
Credentials
M.D.
Primary location
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 80501-3128
Phone: (303) 776-1234 Fax: (720) 494-3107
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 MO 2009012781

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE - Graduated 1996
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
STEPHANIE DETTLEBACH is affiliated with the following medical group(s):
  • HOSPITAL
    • LONGMONT UNITED HOSPITAL
      1950 MOUNTAIN VIEW AVE
      LONGMONT, CO 80501
    • LONGS PEAK HOSPITAL
      1750 E KEN PRATT BLVD
      LONGMONT, CO 80504
    • MEDICAL CENTER OF THE ROCKIES
      2500 ROCKY MOUNTAIN AVE
      LOVELAND, CO 80538
  • HOME HEALTH AGENCY
    • TEAM SELECT HOME CARE OF COLORADO LLC
      3025 S PARKER RD STE 930
      AURORA, CO 80014

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