Dr Ricardo L Pena, MD | |
10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | |
(303) 338-4545 | |
Not Available |
Full Name | Dr Ricardo L Pena |
---|---|
Gender | Male |
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 |
---|---|---|---|
1982720512 | NPI | - | NPPES |
06325271 | Medicaid | CO | |
014853 | Other | KAISER-COMMERCIAL NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 39473 (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 Ricardo L Pena, MD 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: () - | Dr Ricardo L Pena, 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 |