Elizabeth Gutierrez, is a medicare enrolled "Physician Assistant" physician in Fort Lupton, Colorado. Her current practice location is
1115 2nd St, Fort Lupton, Colorado. You can reach out to her office (for appointments etc.) via phone at
(720) 332-9445.
Elizabeth Gutierrez is licensed to practice in Colorado (license number PA0006003) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255972584.
Physician's Profile
Full Name | Elizabeth Gutierrez |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1115 2nd St, Fort Lupton, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255972584
- Provider Enumeration Date: 10/08/2019
- Last Update Date: 11/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 8527490192
- Enrollment ID: I20191120000891
Medical Identifiers
Medical identifiers for Elizabeth Gutierrez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255972584 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | PA0006003 (Colorado) | Secondary |
363A00000X | Physician Assistant | PA0006003 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elizabeth Gutierrez is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Elizabeth Gutierrez, 10188 W Oregon Pl, Lakewood, CO 80232-6346 Ph: (720) 257-2808 | Elizabeth Gutierrez, 1115 2nd St, Fort Lupton, CO 80621-1745 Ph: (720) 332-9445 |
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