| Advanced Neurological Evaluation And Treatment Center Pc | |
|
1601 E 19th Ave Ste 4400 Denver CO 80218-1253 | |
| (303) 863-0501 | |
| (303) 863-0497 |
| Full Name | Advanced Neurological Evaluation And Treatment Center Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1601 E 19th Ave Ste 4400, Denver, Colorado |
| Authorized Official Name and Position | Alexander Feldman (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3038630501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Neurological Evaluation And Treatment Center Pc 1601 E 19th Ave Ste 4400 Denver CO 80218-1253 Ph: (303) 863-0501 | Advanced Neurological Evaluation And Treatment Center Pc 1601 E 19th Ave Ste 4400 Denver CO 80218-1253 Ph: (303) 863-0501 |
| NPI Number | 1063567477 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 05/06/2022 |
| Certification Date | 05/02/2022 |
| Medicare PECOS PAC ID | 6800785528 |
|---|---|
| Medicare Enrollment ID | O20040311001029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063567477 | NPI | - | NPPES |
| 37088769 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Alexander Feldman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134179914 PECOS PAC ID: 7416846134 Enrollment ID: I20050916000264 |
| Provider Name | Jared C Yarnell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609215797 PECOS PAC ID: 0446598254 Enrollment ID: I20190220001026 |
| Provider Name | Kaitlin Kraus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194333195 PECOS PAC ID: 8325468119 Enrollment ID: I20201016000426 |
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