Dr Amanda Lynne Harding, MD | |
4650 Signal Tree Dr Unit 400, Timnath, CO 80547-4902 | |
(970) 812-9927 | |
(970) 999-8655 |
Full Name | Dr Amanda Lynne Harding |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 4650 Signal Tree Dr Unit 400, Timnath, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255543179 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301083796 (Michigan) | Secondary |
208M00000X | Hospitalist | 50141 (Colorado) | Secondary |
208000000X | Pediatrics | 50141 (Colorado) | Primary |
Entity Name | Mclaren Port Huron |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386888170 PECOS PAC ID: 9931018702 Enrollment ID: O20040204000779 |
Entity Name | Mclaren Northern Michigan |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760736094 PECOS PAC ID: 9931018181 Enrollment ID: O20040415001193 |
Entity Name | Beaumont Medical Group Hospital Based Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
Mailing Address | Practice Location Address |
---|---|
Dr Amanda Lynne Harding, MD 4650 Signal Tree Dr Unit 400, Timnath, CO 80547-4902 Ph: (970) 812-9927 | Dr Amanda Lynne Harding, MD 4650 Signal Tree Dr Unit 400, Timnath, CO 80547-4902 Ph: (970) 812-9927 |
Jessica Jeanne Brown, PA-C Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4845 Weitzel St Ste 101, Timnath, CO 80547 Phone: 970-494-2626 Fax: 970-494-2627 |