Dr Katya Bograd, MD | |
4803 Ward Rd, Wheat Ridge, CO 80033-1902 | |
(303) 338-4545 | |
Not Available |
Full Name | Dr Katya Bograd |
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Gender | Female |
Speciality | Pediatrics |
Location | 4803 Ward Rd, Wheat Ridge, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164559183 | NPI | - | NPPES |
013644 | Other | KAISER-COMMERCIAL NUMBER | |
65127366 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 38900 (Colorado) | Primary |
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 Katya Bograd, MD 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: () - | Dr Katya Bograd, MD 4803 Ward Rd, Wheat Ridge, CO 80033-1902 Ph: (303) 338-4545 |
Dr. Lori M Dirusso, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4803 Ward Rd, Wheat Ridge, CO 80033 Phone: 303-338-4545 | |
Larissa Ann Applegate, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3555 Lutheran Pkwy, Suite 200, Wheat Ridge, CO 80033 Phone: 720-284-3700 | |
Dr. Colleen Marie Bowles, D.O Pediatrics Medicare: Medicare Enrolled Practice Location: 7495 W 29th Ave, Wheat Ridge, CO 80033 Phone: 303-239-9946 Fax: 303-789-7079 | |
Dr. Susan M. Fudge-erickson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3555 Lutheran Parkway, Suite 200, Wheat Ridge, CO 80033 Phone: 720-284-3700 Fax: 303-467-0525 | |
Barbara Elizabeth Barringer, PAC Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3655 Lutheran Pkwy, Suite 300, Wheat Ridge, CO 80033 Phone: 720-284-3700 Fax: 303-467-0525 | |
Lance J Lazatin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6055 W 46th Ave, Suite A, Wheat Ridge, CO 80033 Phone: 303-423-8017 Fax: 720-639-6894 |