Clarence V Ellis, MD | |
12790 W Alameda Pkwy Ste A, Lakewood, CO 80228-2850 | |
(303) 403-6350 | |
(303) 403-6372 |
Full Name | Clarence V Ellis |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 47 Years |
Location | 12790 W Alameda Pkwy Ste A, Lakewood, Colorado |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982647475 | NPI | - | NPPES |
0801103606 | Other | MEDICARE RAILROAD | |
61572578 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 33692 (Colorado) | Primary |
2083X0100X | Preventive Medicine - Occupational Medicine | 33692 (Colorado) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Scl Health Medical Group - Denver Llc | 0840513552 | 426 |
Entity Name | Scl Health Front Range Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649210188 PECOS PAC ID: 6800799537 Enrollment ID: O20040130000049 |
Entity Name | Scl Health Medical Group - Denver Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083021083 PECOS PAC ID: 0840513552 Enrollment ID: O20150106000131 |
Mailing Address | Practice Location Address |
---|---|
Clarence V Ellis, MD 2420 W 26th Ave Ste 400d, Denver, CO 80211-5357 Ph: (303) 988-4870 | Clarence V Ellis, MD 12790 W Alameda Pkwy Ste A, Lakewood, CO 80228-2850 Ph: (303) 403-6350 |
Dr. Kathryn Burkhardt Goeke, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11600 W 2nd Pl, Lakewood, CO 80228 Phone: 720-321-0000 Fax: 720-321-1759 | |
Joshua R Ward, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11600 W 2nd Pl, Lakewood, CO 80228 Phone: 303-731-9782 Fax: 720-321-1759 | |
Aimee Sue Nelson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8585 W 14th Ave, Suite B2, Lakewood, CO 80215 Phone: 303-238-1201 Fax: 303-238-2981 | |
Dr. Kris Alan Johnson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 155 Van Gordon St, Suite #395, Lakewood, CO 80228 Phone: 303-914-2680 | |
Edward Shuherk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12790 W Alameda Pkwy, Lakewood, CO 80228 Phone: 303-403-6350 Fax: 303-403-6372 | |
Alan Schultz, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 165 S Union Blvd Ste 800, Lakewood, CO 80228 Phone: 303-988-2680 Fax: 303-986-8057 | |
Benjamin Charles Schnell, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 255 Union Blvd, 300, Lakewood, CO 80228 Phone: 303-986-9583 |