| Eric K Hammerberg Md Pc | |
|
4485 Wadsworth Blvd Ste 301 Wheat Ridge CO 80033-3318 | |
| (303) 825-3759 | |
| (303) 825-7003 |
| Full Name | Eric K Hammerberg Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4485 Wadsworth Blvd, Wheat Ridge, Colorado |
| Authorized Official Name and Position | Eric K Hammerberg (OWNER) |
| Authorized Official Contact | 3038253759 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric K Hammerberg Md Pc 4485 Wadsworth Blvd Ste 301 Wheat Ridge CO 80033-3318 Ph: (303) 825-3759 | Eric K Hammerberg Md Pc 4485 Wadsworth Blvd Ste 301 Wheat Ridge CO 80033-3318 Ph: (303) 825-3759 |
| NPI Number | 1790854412 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 05/01/2012 |
| Medicare PECOS PAC ID | 2567528235 |
|---|---|
| Medicare Enrollment ID | O20090304000467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790854412 | NPI | - | NPPES |
| CO40689 | Other | CO | INDIVIDUAL PTAN |
| HA38551 | Other | BCBS | |
| 01165893 | Medicaid | CO | |
| COB4381 | Other | CO | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 16589 (Colorado) | Primary |
| Provider Name | Eric K Hammerberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427234046 PECOS PAC ID: 3173686854 Enrollment ID: I20090106000658 |
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