Dr Jennifer N Kelloff, MD | |
11245 Huron St, Westminster, CO 80234-2806 | |
(303) 338-4545 | |
Not Available |
Full Name | Dr Jennifer N Kelloff |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 11245 Huron St, Westminster, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891885430 | NPI | - | NPPES |
020735 | Other | CO | KAISER COMMERCIAL NUMBER |
205470404 | Medicaid | MO | |
35705329 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 48355 (Colorado) | Primary |
208000000X | Pediatrics | 2006020973 (Missouri) | Secondary |
Entity Name | Colorado Permanente Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640 |
Mailing Address | Practice Location Address |
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Dr Jennifer N Kelloff, MD 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: () - | Dr Jennifer N Kelloff, MD 11245 Huron St, Westminster, CO 80234-2806 Ph: (303) 338-4545 |
Dr. Kathryn H Berger, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7701 Sheridan Blvd, Westminster, CO 80003 Phone: 303-338-4545 | |
Anne-laure Shelton, M.D., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8510 Bryant St Ste 200, Westminster, CO 80031 Phone: 303-650-4460 Fax: 720-565-4130 | |
Dr. Thomas Anh Pham, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 13648 Orchard Pkwy Unit 900, Westminster, CO 80023 Phone: 720-239-7725 Fax: 720-239-7730 | |
Mr. Peter Erwin Knott, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9035 Wadsworth Pkwy Ste 3000, Westminster, CO 80021 Phone: 303-422-7677 Fax: 303-422-6029 | |
Dr. Patrick A Kusek, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11245 Huron St, Westminster, CO 80234 Phone: 303-338-4545 | |
Tiffany Lynn Ancheril, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3520 W 92nd Ave Ste 104, Westminster, CO 80031 Phone: 303-429-6600 Fax: 720-235-4738 | |
Shelley L Cox-diegel, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11245 Huron St, Westminster, CO 80234 Phone: 303-743-5855 |