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Derick R Fenton

  • Male

Medical Specialty

Professional ID

  • NPI: 1750673539
  • PECOS ID: 0446551246
  • Enrollment ID: I20151221002285
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2011

Hospital Service

  • Hospital CCN1: 060006
  • Business Name (LBN)1: Montrose Memorial Hospital

Medical Practices

  • Organization Name: Montrose Memorial Hospital
  • Group Practice ID assigned by PECOS: 1658272992
  • Number of Group Practice member: 29

Location

  • Address1: 715 S 3rd St
  • Address2: Alpine Womens Centre
  • City: Montrose
  • State: Colorado
  • Zip Code: 81401
  • Phone Number: (970)249-6737

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):