| Integrated Mobile Medical Suncrest Advanced Illness Management | |
|
5700 S Quebec St Ste 310 Greenwood Vlg CO 80111-2008 | |
| (719) 247-1600 | |
| (801) 883-8044 |
| Full Name | Integrated Mobile Medical Suncrest Advanced Illness Management |
|---|---|
| Speciality | Internal Medicine |
| Location | 5700 S Quebec St Ste 310, Greenwood Vlg, Colorado |
| Authorized Official Name and Position | Ginia Y Burdick (NURSE PRACTITIONER) |
| Authorized Official Contact | 7192471600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Mobile Medical Suncrest Advanced Illness Management 206 N 2100 W Ste 202 Salt Lake City UT 84116-4741 Ph: (801) 924-8571 | Integrated Mobile Medical Suncrest Advanced Illness Management 5700 S Quebec St Ste 310 Greenwood Vlg CO 80111-2008 Ph: (719) 247-1600 |
| NPI Number | 1356806517 |
|---|---|
| Provider Enumeration Date | 02/01/2019 |
| Last Update Date | 02/01/2019 |
| Medicare PECOS PAC ID | 3476896432 |
|---|---|
| Medicare Enrollment ID | O20190515002672 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356806517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Primary |
| Provider Name | Rochelle Y. Elijah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376504654 PECOS PAC ID: 1355254541 Enrollment ID: I20040622000169 |
| Provider Name | Jennifer Elizabeth Lott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215463666 PECOS PAC ID: 4183970536 Enrollment ID: I20180627003150 |
| Provider Name | Andrea Urie Kot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306432265 PECOS PAC ID: 1153734058 Enrollment ID: I20210114001286 |
Carepoint Inpatient Blue Sky Neurology - Texas, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5600 S Quebec St Ste 312a, Greenwood Vlg, CO 80111 Phone: 303-478-0430 Fax: 303-436-2710 |