Dr Krista Leigh Antenucci, DO | |
10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | |
(303) 338-4545 | |
Not Available |
Full Name | Dr Krista Leigh Antenucci |
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Gender | Female |
Speciality | Surgery |
Location | 10240 Park Meadows Dr, 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 |
---|---|---|---|
1366607889 | NPI | - | NPPES |
36135151 | Medicaid | CO | |
029292 | Other | CO | KAISER COMMERCIAL NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | DR.0057492 (Colorado) | Primary |
Entity Name | Promedica Central Corporation Of Michigan |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588624696 PECOS PAC ID: 7012902265 Enrollment ID: O20040416001163 |
Entity Name | Mercy Memorial Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811097223 PECOS PAC ID: 7012811615 Enrollment ID: O20061212000299 |
Mailing Address | Practice Location Address |
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Dr Krista Leigh Antenucci, DO 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: () - | Dr Krista Leigh Antenucci, DO 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 |