Kenyon Joseph Weidle, MD | |
601 E Hampden Ave Ste 470, Englewood, CO 80113-2797 | |
(303) 788-3100 | |
(303) 788-3196 |
Full Name | Kenyon Joseph Weidle |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 16 Years |
Location | 601 E Hampden Ave Ste 470, Englewood, 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 |
---|---|---|---|
1083903165 | NPI | - | NPPES |
23875313 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 49856 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hca-healthone Dba Swedish Medical Center | Englewood, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Healthcare Services Inc | 2163339722 | 3341 |
Healthone Clinic Services - Primary Care Llc | 7012804446 | 50 |
Entity Name | Healthone Clinic Services - Primary Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518141761 PECOS PAC ID: 7012804446 Enrollment ID: O20040301001279 |
Mailing Address | Practice Location Address |
---|---|
Kenyon Joseph Weidle, MD 191 E Orchard Rd Ste 300, Littleton, CO 80121-8058 Ph: (303) 788-3100 | Kenyon Joseph Weidle, MD 601 E Hampden Ave Ste 470, Englewood, CO 80113-2797 Ph: (303) 788-3100 |
Dr. Daniel Lawrence Hubbard, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 221 E Hampden Ave, Englewood, CO 80113 Phone: 303-789-2251 Fax: 303-789-2505 | |
Dr. Susan Papner, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 E Hampden Ave, Suite 350, Englewood, CO 80113 Phone: 303-788-6490 Fax: 303-788-5451 | |
Dr. Bipin Kumar, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3515 S Delaware St, Englewood, CO 80110 Phone: 303-788-0782 Fax: 303-762-1583 | |
Dr. Ruth Lorene Overlease, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2955 S Broadway, Englewood, CO 80113 Phone: 303-338-4545 | |
Daniel E Urcuyo Llanes, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 180 E Hampden Ave Ste 100, Englewood, CO 80113 Phone: 303-789-6018 | |
Hugh Holleman Macaulay Iii, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3333 S Bannock St, Suite 810, Englewood, CO 80110 Phone: 720-282-9777 Fax: 303-722-0613 |