Mona Mix, | |
5822 S Lowell Way, Littleton, CO 80123-2849 | |
(720) 669-3470 | |
(720) 669-3480 |
Full Name | Mona Mix |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 5822 S Lowell Way, Littleton, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952016370 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 211090 (Oklahoma) | Secondary |
363LF0000X | Nurse Practitioner - Family | C-APN.01010403-C-NP (Colorado) | Primary |
Entity Name | Prophylaxis Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538453923 PECOS PAC ID: 3072784289 Enrollment ID: O20110920000575 |
Mailing Address | Practice Location Address |
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Mona Mix, Po Box 140823, Broken Arrow, OK 74014-0008 Ph: (918) 824-9011 | Mona Mix, 5822 S Lowell Way, Littleton, CO 80123-2849 Ph: (720) 669-3470 |
Mrs. Anjanette Ostrom, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7700 S Broadway, Littleton, CO 80122 Phone: 303-730-8900 Fax: 303-738-7755 | |
Mr. Robert Hofmann Benge, RN, BSN, MSN, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5500 S Sycamore St, Littleton, CO 80120 Phone: 303-730-8858 | |
Jennifer Mack, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6179 S Balsam Way Ste 205, Littleton, CO 80123 Phone: 720-771-1135 | |
Mrs. Karen Elaine Kamerzell, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7761 Shaffer Pkwy Ste 225, Littleton, CO 80127 Phone: 303-862-1504 Fax: 303-933-9431 | |
Mrs. Allison Burrier, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2516 W Main St, Littleton, CO 80120 Phone: 720-532-1856 | |
Julia Ann Covelli Pachek, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 761 Southpark Dr, Littleton, CO 80120 Phone: 303-783-1000 Fax: 303-783-1001 | |
Loretta F Martineau, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5555 E Arapahoe Rd, Littleton, CO 80122 Phone: 303-338-4545 |