Adria Boucharel, MD | |
13123 E 16th Ave, Aurora, CO 80045-7106 | |
(720) 777-1234 | |
Not Available |
Full Name | Adria Boucharel |
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Gender | Female |
Speciality | Anesthesiology - Pediatric Anesthesiology |
Location | 13123 E 16th Ave, Aurora, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174652960 | NPI | - | NPPES |
54081840 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 47069 (Colorado) | Secondary |
207LP3000X | Anesthesiology - Pediatric Anesthesiology | DR.0047069 (Colorado) | Primary |
Entity Name | University Physicians Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962461889 PECOS PAC ID: 3476465667 Enrollment ID: O20031105000375 |
Mailing Address | Practice Location Address |
---|---|
Adria Boucharel, MD Po Box 110429, Aurora, CO 80042-0429 Ph: (303) 493-7000 | Adria Boucharel, MD 13123 E 16th Ave, Aurora, CO 80045-7106 Ph: (720) 777-1234 |
Jocelyn Breanna Mulkey, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 13123 E 16th Ave, Aurora, CO 80045 Phone: 720-777-1234 | |
Sally Ratliff, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 13123 E 16th Ave, Aurora, CO 80045 Phone: 720-777-1234 | |
Dr. Phillip M Pian, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000 | |
Dr. Camille Juliana Davis, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 13123 E 16th Ave, Aurora, CO 80045 Phone: 720-777-1234 | |
Dr. Christopher J Lace, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000 | |
Dr. Ramakrishna Gumidyala, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000 | |
Lyndsey Christine Monfort Grae, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000 |