| Rocky Mountain Neurology Pc | |
|
5975 S Quebec St Ste 150 Centennial CO 80111-4554 | |
| (303) 790-8899 | |
| (303) 790-2810 |
| Full Name | Rocky Mountain Neurology Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5975 S Quebec St Ste 150, Centennial, Colorado |
| Authorized Official Name and Position | Amelia Barrett (PRESIDENT) |
| Authorized Official Contact | 3037908899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Mountain Neurology Pc 5975 S Quebec St Ste 150 Centennial CO 80111-4554 Ph: (303) 790-8899 | Rocky Mountain Neurology Pc 5975 S Quebec St Ste 150 Centennial CO 80111-4554 Ph: (303) 790-8899 |
| NPI Number | 1770767386 |
|---|---|
| Provider Enumeration Date | 12/19/2007 |
| Last Update Date | 05/03/2024 |
| Certification Date | 05/03/2024 |
| Medicare PECOS PAC ID | 3375439219 |
|---|---|
| Medicare Enrollment ID | O20040226000387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770767386 | NPI | - | NPPES |
| 77230761 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 37976 (Colorado) | Primary |
| Provider Name | Amelia S Barrett |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790802254 PECOS PAC ID: 1254227192 Enrollment ID: I20040322001573 |
| Provider Name | Daniel J Kitei |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558560946 PECOS PAC ID: 4688729312 Enrollment ID: I20090902000294 |
| Provider Name | Rotem Laszlo Abraham Elgavish |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437366473 PECOS PAC ID: 9830260074 Enrollment ID: I20140829000846 |
| Provider Name | Katherine Anna Coerver |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831161157 PECOS PAC ID: 8921078692 Enrollment ID: I20151231000555 |
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