| Ebert Family Clinic | |
|
730 N Summit Blvd Suite 101 Frisco CO 80443 | |
| (970) 668-1616 | |
| (970) 668-5650 |
| Full Name | Ebert Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 730 N Summit Blvd, Frisco, Colorado |
| Authorized Official Name and Position | Christine A Ebert-santos (OWNER) |
| Authorized Official Contact | 9706681616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ebert Family Clinic Po Box 4250 Frisco CO 80443-4250 Ph: (970) 668-1616 | Ebert Family Clinic 730 N Summit Blvd Suite 101 Frisco CO 80443 Ph: (970) 668-1616 |
| NPI Number | 1720357569 |
|---|---|
| Provider Enumeration Date | 12/23/2011 |
| Last Update Date | 10/20/2020 |
| Certification Date | 10/20/2020 |
| Medicare PECOS PAC ID | 7315178308 |
|---|---|
| Medicare Enrollment ID | O20140314000375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720357569 | NPI | - | NPPES |
| 62732862 | Medicaid | CO |
| Provider Name | Laura N Amedro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770831380 PECOS PAC ID: 0446400766 Enrollment ID: I20121023000495 |
| Provider Name | Christine A Ebert Santos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285746198 PECOS PAC ID: 6709017700 Enrollment ID: I20140314000750 |
| Provider Name | Karie Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972054088 PECOS PAC ID: 5698036820 Enrollment ID: I20180302000409 |
| Provider Name | Tara A Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427549229 PECOS PAC ID: 4183973266 Enrollment ID: I20180822003216 |
| Provider Name | Kristen Duffy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205190618 PECOS PAC ID: 5698927671 Enrollment ID: I20190613001984 |
| Provider Name | Ana Sofia Bedoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427785427 PECOS PAC ID: 1052788726 Enrollment ID: I20221109002045 |
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