Carrie Elizabeth Wilcox, | |
4943 State Highway 52, Ste 240, Dacono, CO 80514-9100 | |
(303) 501-2600 | |
(303) 833-7017 |
Full Name | Carrie Elizabeth Wilcox |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 15 Years |
Location | 4943 State Highway 52, Dacono, Colorado |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427290949 | NPI | - | NPPES |
00326697 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DR.0049758 (Colorado) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Vista Medical Partners Llc | 3476605866 | 3 |
Entity Name | North Vista Medical Partners Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568616951 PECOS PAC ID: 3476605866 Enrollment ID: O20090715000726 |
Mailing Address | Practice Location Address |
---|---|
Carrie Elizabeth Wilcox, 4943 State Highway 52, Ste 240, Dacono, CO 80514-9100 Ph: (303) 501-2600 | Carrie Elizabeth Wilcox, 4943 State Highway 52, Ste 240, Dacono, CO 80514-9100 Ph: (303) 501-2600 |
Bruce W Martin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3101 Summit View Dr., Dacono, CO 80514 Phone: 303-925-4150 Fax: 303-925-4152 | |
Dr. Timothy J Nagel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4943 State Highway 52, Dacono, CO 80514 Phone: 303-501-2600 | |
Mr. Charles E Tawa, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4943 State Highway 52, Dacono, CO 80514 Phone: 303-501-2600 Fax: 303-833-7017 | |
David Z Tusek, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4943 State Highway 52, Dacono, CO 80514 Phone: 303-501-2600 Fax: 303-833-7017 | |
Dr. Clint Flanagan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4943 State Highway 52, Ste 240, Dacono, CO 80514 Phone: 303-501-2600 Fax: 303-833-7017 |