Dr Kenneth A Gotaas, MD | |
10101 Ridgegate Pkwy, Lone Tree, CO 80124-5522 | |
(303) 338-4545 | |
Not Available |
Full Name | Dr Kenneth A Gotaas |
---|---|
Gender | Male |
Speciality | Hospitalist |
Location | 10101 Ridgegate Pkwy, Lone Tree, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316933161 | NPI | - | NPPES |
29133033 | Medicaid | CO | |
012773 | Other | CO | KAISER COMMERCIAL NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 38725 (Colorado) | Primary |
Entity Name | Colorado Permanente Medical Group Pc |
---|---|
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 |
---|---|
Dr Kenneth A Gotaas, MD 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: () - | Dr Kenneth A Gotaas, MD 10101 Ridgegate Pkwy, Lone Tree, CO 80124-5522 Ph: (303) 338-4545 |
Dr. Robert Heineman, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 10099 Ridgegate Pkwy Ste 200, Lone Tree, CO 80124 Phone: 720-476-3364 | |
Andrzej Dankowski, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 9615 Aspen Hill Cir, Lone Tree, CO 80124 Phone: 303-960-5486 Fax: 303-792-2447 | |
Dr. Justin Adrian Edward, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 10240 Park Meadows Dr, Lone Tree, CO 80124 Phone: 303-338-4545 | |
Dr. Sophia Nguyen Zwicker, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 10101 Ridgegate Pkwy, Lone Tree, CO 80124 Phone: 303-338-4545 |