Dr Christopher W Pergrem, MD | |
12911 W 40th Ave, Golden, CO 80401-2696 | |
(303) 425-4500 | |
Not Available |
Full Name | Dr Christopher W Pergrem |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 12911 W 40th Ave, Golden, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336126408 | NPI | - | NPPES |
73105031 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 36395 (Kentucky) | Secondary |
207P00000X | Emergency Medicine | 39044 (Colorado) | Primary |
Entity Name | Usacs Of Colorado Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760415871 PECOS PAC ID: 4981507571 Enrollment ID: O20040130000439 |
Entity Name | Emergency Service Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326097668 PECOS PAC ID: 1557255882 Enrollment ID: O20040209001037 |
Entity Name | Usacs Observation Medicine Services Of Colorado Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518491232 PECOS PAC ID: 9133498074 Enrollment ID: O20170707002144 |
Entity Name | Usacs Community Emergency Services Of Colorado Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053824979 PECOS PAC ID: 2466711536 Enrollment ID: O20180117002329 |
Mailing Address | Practice Location Address |
---|---|
Dr Christopher W Pergrem, MD 4535 Dressler Rd Nw, Canton, OH 44718-2545 Ph: (855) 687-0618 | Dr Christopher W Pergrem, MD 12911 W 40th Ave, Golden, CO 80401-2696 Ph: (303) 425-4500 |
Dr. Arin W Iman, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5920 Mcintyre St, Golden, CO 80403 Phone: 303-949-1250 | |
Dr. Nancy Elizabeth Bodelson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 14847 W 31st Ave, Golden, CO 80401 Phone: 303-279-7728 Fax: 303-279-7740 | |
Dr. Rhett Henry Butler, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2210 Juniper Ct, Golden, CO 80401 Phone: 203-788-3093 | |
Dr. Justin C Chang, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 18820 Eagle Ridge Drive, Golden, CO 80401 Phone: 303-653-7720 |