Inner City Health Center - Medicare Dental Clinic in Denver, CO

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Inner City Health Center is a medicare enrolled dental clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Denver, Colorado. The current practice location for Inner City Health Center is 3800 York St, Denver, Colorado. For appointments, you can reach them via phone at (303) 296-1767. The mailing address for Inner City Health Center is 3800 York St., Denver, Colorado and phone number is (303) 296-1767.

Inner City Health Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1578539979. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (303) 296-1767.

Contact Information

Inner City Health Center
3800 York St
Denver
CO 80205-3540
(303) 296-1767
(303) 296-3484

Map and Direction


Dental Care Clinic Profile

Full NameInner City Health Center
SpecialityClinic/Center
Location3800 York St, Denver, Colorado
Authorized Official Name and PositionAndrea Cortez (COO)
Authorized Official Contact7208335099
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Inner City Health Center
3800 York St.
Denver
CO 80205-3972

Ph: (303) 296-1767		Inner City Health Center
3800 York St
Denver
CO 80205-3540

Ph: (303) 296-1767

NPI Details:

NPI Number1578539979
Provider Enumeration Date02/24/2006
Last Update Date01/22/2024

Medicare PECOS Information:

Medicare PECOS PAC ID4688562697
Medicare Enrollment IDO20040310000093

Medical Identifiers

Medical identifiers for Inner City Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578539979NPI-NPPES
04004552OtherCOMCD DENTAL
9000172845MedicaidCO
14003031OtherCONEW HOPE DENTAL SERVIC
04001699MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QD0000XClinic/center - Dental (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary
261QH0100XClinic/center - Health Service (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Inner City Health Center acts as a billing entity for following providers:
Provider NameDanica J Larson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1629112339
PECOS PAC ID: 0840180980
Enrollment ID: I20040319001124
Provider NameDouglas A. Fairbairn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407846009
PECOS PAC ID: 6709838436
Enrollment ID: I20050211000158
Provider NameJonathan Eichhorn
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053562868
PECOS PAC ID: 3779636642
Enrollment ID: I20090727000014
Provider NameRandall G Craig
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700046422
PECOS PAC ID: 8729275508
Enrollment ID: I20130715000681
Provider NameDebra Ann Iverson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164448221
PECOS PAC ID: 6305062704
Enrollment ID: I20140721001464
Provider NameEmily Anne Trede
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033349675
PECOS PAC ID: 8921326018
Enrollment ID: I20150422000735
Provider NameLaura Ann Croom
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730522178
PECOS PAC ID: 8123245503
Enrollment ID: I20160203002356
Provider NameRachel H Kafader
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487102539
PECOS PAC ID: 6103104609
Enrollment ID: I20161104000457
Provider NameNezha Belhadaoui
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255876140
PECOS PAC ID: 8628359429
Enrollment ID: I20170111000073
Provider NameJessica R Ortiz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902315922
PECOS PAC ID: 2365709458
Enrollment ID: I20171128000779
Provider NameHolly Ann Preston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710474069
PECOS PAC ID: 7214291897
Enrollment ID: I20180507002550
Provider NameNicole M Dams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902347040
PECOS PAC ID: 1759645260
Enrollment ID: I20180509002712
Provider NameRachael Marie Kjelden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558855965
PECOS PAC ID: 5193072700
Enrollment ID: I20180726003398
Provider NameStacy Hountras
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285112946
PECOS PAC ID: 1153672209
Enrollment ID: I20180928001346
Provider NameCarla D Giacomazzi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760970297
PECOS PAC ID: 8921333840
Enrollment ID: I20190716000409
Provider NameLauren Thayer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992272108
PECOS PAC ID: 5496082018
Enrollment ID: I20190806000258
Provider NameAlison Alter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528534211
PECOS PAC ID: 4082049275
Enrollment ID: I20200116000682
Provider NameDeborah Herold
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316272909
PECOS PAC ID: 6204262306
Enrollment ID: I20200210001162
Provider NameCandace Lartigue
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932744828
PECOS PAC ID: 2365863164
Enrollment ID: I20200603001783
Provider NameDavid Mcqueen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790395879
PECOS PAC ID: 1456779867
Enrollment ID: I20200917000916
Provider NameMegan B Whitehouse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982370615
PECOS PAC ID: 2466841051
Enrollment ID: I20211122000469
Provider NameKaitlin Jane Vanderkolk
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841810702
PECOS PAC ID: 6800218116
Enrollment ID: I20240125004264
Provider NameMichelle Kristen Hart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710769245
PECOS PAC ID: 5092152009
Enrollment ID: I20240326004346

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.