Meditelecare Of Colorado Llc | |
1900 W Littleton Blvd Littleton CO 80120-2023 | |
(860) 788-6404 | |
(860) 829-0495 |
Full Name | Meditelecare Of Colorado Llc |
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Speciality | Psychologist |
Location | 1900 W Littleton Blvd, Littleton, Colorado |
Authorized Official Name and Position | Andrea Godfrey (CREDENTIALING & ENROLLMENT MANAGER) |
Authorized Official Contact | 8607886404 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Meditelecare Of Colorado Llc 213 Court St Fl 6 Middletown CT 06457-3346 Ph: (860) 788-6404 | Meditelecare Of Colorado Llc 1900 W Littleton Blvd Littleton CO 80120-2023 Ph: (860) 788-6404 |
NPI Number | 1407471774 |
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Provider Enumeration Date | 06/12/2020 |
Last Update Date | 09/04/2024 |
Certification Date | 09/04/2024 |
Medicare PECOS PAC ID | 2567888993 |
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Medicare Enrollment ID | O20200817002021 |
Identifier | Type | State | Issuer |
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1407471774 | NPI | - | NPPES |
Provider Name | Susan Weber |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1023349073 PECOS PAC ID: 1951432285 Enrollment ID: I20150210002164 |
Provider Name | Glenn Ferguson |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1922391994 PECOS PAC ID: 3870771496 Enrollment ID: I20180430000328 |
Provider Name | Gabrielle Frankenfield |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811231749 PECOS PAC ID: 4486806726 Enrollment ID: I20200817002195 |
Provider Name | Carey Reed |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962944926 PECOS PAC ID: 3678841202 Enrollment ID: I20201103000692 |
Provider Name | Chelsea Elizabeth Twiss |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1881172377 PECOS PAC ID: 3870996689 Enrollment ID: I20210730000267 |
Provider Name | Jennifer Glidewell |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1588199970 PECOS PAC ID: 8325428907 Enrollment ID: I20220629002924 |
Provider Name | Natalie Jean Baptiste |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598426371 PECOS PAC ID: 3577950401 Enrollment ID: I20220831003226 |
Provider Name | Latifat Amadin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336579556 PECOS PAC ID: 7719117167 Enrollment ID: I20220929000796 |
Provider Name | Emily Drury |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659889319 PECOS PAC ID: 5991041295 Enrollment ID: I20221024002128 |
Provider Name | Lauren Mcmiller |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1093374498 PECOS PAC ID: 2961737937 Enrollment ID: I20230201000553 |
Provider Name | Kimberly Souza |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902200645 PECOS PAC ID: 3072735703 Enrollment ID: I20230629001798 |
Provider Name | Jason Walker |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1972026946 PECOS PAC ID: 7719332048 Enrollment ID: I20231006000717 |
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