Pisespong Patamasucon, MD | |
2055 N High St Ste 380, Denver, CO 80205-5503 | |
(303) 393-4300 | |
(303) 832-7205 |
Full Name | Pisespong Patamasucon |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Infectious Diseases |
Location | 2055 N High St Ste 380, Denver, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790763415 | NPI | - | NPPES |
11780118 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0208X | Pediatrics - Pediatric Infectious Diseases | 56251 (Colorado) | Secondary |
2080P0208X | Pediatrics - Pediatric Infectious Diseases | 9696 (Nevada) | Primary |
Entity Name | Unlv Medicine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407397235 PECOS PAC ID: 4183991458 Enrollment ID: O20170517002454 |
Mailing Address | Practice Location Address |
---|---|
Pisespong Patamasucon, MD 3016 W Charleston Blvd Ste 100, Las Vegas, NV 89102-1973 Ph: (702) 780-2315 | Pisespong Patamasucon, MD 2055 N High St Ste 380, Denver, CO 80205-5503 Ph: (303) 393-4300 |
Dr. Lisa Marie Griss, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1719 E 19th Ave, Denver, CO 80218 Phone: 303-754-4400 | |
Gregory Q Miranda, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 777 Bannock St, Mc 7782, Denver, CO 80204 Phone: 303-436-6000 | |
John W Ogle, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 777 Bannock St, Mc 7782, Denver, CO 80204 Phone: 303-436-6000 | |
Dr. Lisa D Whitesides, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10400 E Alameda Ave, Denver, CO 80247 Phone: 303-338-4545 | |
Kevin Friedman, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: University Of Colorado School Of Medicine, Denver, CO 80262 Phone: 303-493-7000 | |
Matthew Soden, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 501 S Cherry St Ste 1100, Denver, CO 80246 Phone: 720-593-6711 Fax: 720-706-1393 | |
Dr. Danielle Roberts, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 777 Bannock St, Denver, CO 80204 Phone: 303-602-9250 |