Dr Kimberly G Black, MD | |
10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | |
(303) 338-4545 | |
Not Available |
Full Name | Dr Kimberly G Black |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 17 Years |
Location | 10240 Park Meadows Dr, Lone Tree, Colorado |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518199728 | NPI | - | NPPES |
026664 | Other | CO | KAISER COMMERCIAL NUMBER |
44972717 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | DR.0055768 (Colorado) | Primary |
208600000X | Surgery | A107360 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Joseph Hospital | Denver, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Colorado Permanente Medical Group Pc | 1254238454 | 1156 |
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 Kimberly G Black, MD 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: () - | Dr Kimberly G Black, MD 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 Ph: (303) 338-4545 |
Dr. Graham Litchman, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 1099 Ridgegate Parkway, Graduate Medical Education Office Suite 120,, Lone Tree, CO 80124 Phone: 720-874-2406 Fax: 720-476-3369 | |
Dr. Lily Daniali, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10535 Park Meadows Blvd Ste 350, Lone Tree, CO 80124 Phone: 720-853-5791 | |
Dr. Robert Mccurdy Pride, MD Surgery Medicare: Medicare Enrolled Practice Location: 10103 Ridgegate Pkwy Ste 350, Lone Tree, CO 80124 Phone: 303-320-7826 | |
Dr. Adam Clementi Delgado, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 10099 Ridgegate Pkwy Ste 200, Lone Tree, CO 80124 Phone: 720-795-9731 Fax: 720-875-2877 | |
Dr. Stefanie D Kolpak, MD Surgery Medicare: Medicare Enrolled Practice Location: 10240 Park Meadows Dr, Lone Tree, CO 80124 Phone: 303-338-4545 | |
Dr. Philip Woodworth, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10099 Ridgegate Pkwy Ste 110, Lone Tree, CO 80124 Phone: 303-788-7700 Fax: 303-788-8982 | |
Ms. Valentyna Martishko, Surgery Medicare: Not Enrolled in Medicare Practice Location: 10240 Park Meadows Dr, Lone Tree, CO 80124 Phone: 303-338-4545 |