Carleen R Innes, CNM is a medicare enrolled "Advanced Practice Midwife" in Lafayette, Colorado. Her current practice location is
280 Exempla Cir, Lafayette, Colorado. You can reach out to her office (for appointments etc.) via phone at
(303) 338-4545.
Carleen R Innes is licensed to practice in Colorado (license number 86312) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366475147.
Provider's Profile
Full Name | Carleen R Innes |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 280 Exempla Cir, Lafayette, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366475147
- Provider Enumeration Date: 07/08/2006
- Last Update Date: 05/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 0547366213
- Enrollment ID: I20070426000588
Medical Identifiers
Medical identifiers for Carleen R Innes such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366475147 | NPI | - | NPPES |
07863129 | Medicaid | CO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | 86312 (Colorado) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carleen R Innes allows following entities to bill medicare on her behalf.
Entity Name | Peak Vista Community Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730166034 PECOS PAC ID: 4688583974 Enrollment ID: O20031110000337 |
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Entity Name | Colorado Permanente Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carleen R Innes is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Carleen R Innes, CNM 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: () - | Carleen R Innes, CNM 280 Exempla Cir, Lafayette, CO 80026-3370 Ph: (303) 338-4545 |
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