| Telemedicine Company New York Pc | |
|
501 S Cherry St Ste 1100 Denver CO 80246-1323 | |
| (720) 363-1418 | |
| Not Available |
| Full Name | Telemedicine Company New York Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 501 S Cherry St Ste 1100, Denver, Colorado |
| Authorized Official Name and Position | Alexander Mason (CEO) |
| Authorized Official Contact | 4042274864 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Telemedicine Company New York Pc 501 S Cherry St Ste 1100 Denver CO 80246-1323 Ph: (720) 363-1418 | Telemedicine Company New York Pc 501 S Cherry St Ste 1100 Denver CO 80246-1323 Ph: (720) 363-1418 |
| NPI Number | 1003691338 |
|---|---|
| Provider Enumeration Date | 08/25/2023 |
| Last Update Date | 08/25/2023 |
| Certification Date | 08/25/2023 |
| Medicare PECOS PAC ID | 6002254273 |
|---|---|
| Medicare Enrollment ID | O20240406000152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003691338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | David J Dickoff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548202484 PECOS PAC ID: 6709866957 Enrollment ID: I20040720001337 |
| Provider Name | Jessica Peterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871906107 PECOS PAC ID: 8325382732 Enrollment ID: I20240406000166 |
| Provider Name | Hetal Brahmbhatt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841283199 PECOS PAC ID: 7012958580 Enrollment ID: I20240406000182 |
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