Dr Zackary Jacob Kent, MD | |
320 Beard Creek Rd, Edwards, CO 81632-6426 | |
(970) 945-2840 | |
(970) 945-1055 |
Full Name | Dr Zackary Jacob Kent |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 18 Years |
Location | 320 Beard Creek Rd, Edwards, Colorado |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407038706 | NPI | - | NPPES |
9000171600 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01064728A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Vail Health Hospital | Vail, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Colorado Mountain Medical, Llc | 5496087181 | 62 |
Entity Name | Mountain Family Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477552388 PECOS PAC ID: 3173413101 Enrollment ID: O20040316000175 |
Entity Name | Colorado Mountain Medical, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730747445 PECOS PAC ID: 5496087181 Enrollment ID: O20191030000595 |
Mailing Address | Practice Location Address |
---|---|
Dr Zackary Jacob Kent, MD 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: () - | Dr Zackary Jacob Kent, MD 320 Beard Creek Rd, Edwards, CO 81632-6426 Ph: (970) 945-2840 |
Kent A Petrie, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 320 Beard Creek Rd Ste 200, Edwards, CO 81632 Phone: 970-945-2840 Fax: 970-945-2893 | |
Joshua Steven Rusk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 Beard Creek Rd, Edwards, CO 81632 Phone: 970-945-2840 Fax: 970-945-2893 | |
Philip Ellis Freedman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 141 Snaffle Rd., Edwards, CO 81632 Phone: 970-926-0314 Fax: 970-926-3214 |