| Peter Jay Ienatsch, PA | |
|
2610 Tenderfoot Hill St, Colorado Springs, CO 80906-3981 | |
| (719) 522-1133 | |
| Not Available |
| Full Name | Peter Jay Ienatsch |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 2610 Tenderfoot Hill St, Colorado Springs, Colorado |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679608038 | NPI | - | NPPES |
| PA05044 | Other | TX | TX LICENSE |
| 9000168915 | Medicaid | CO | |
| PA0004947 | Other | CO | COLORADO MEDICAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA0004947 (Colorado) | Primary |
| 363A00000X | Physician Assistant | PA05044 (Texas) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optumcare Colorado Medical Group Llc | 2769706431 | 96 |
| Select Physical Therapy Holdings Inc | 9537076401 | 1557 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Jay Ienatsch, PA 2 S Cascade Ave Ste 140, Colorado Springs, CO 80903-1604 Ph: (719) 538-2900 | Peter Jay Ienatsch, PA 2610 Tenderfoot Hill St, Colorado Springs, CO 80906-3981 Ph: (719) 522-1133 |
Mrs. Lauren Elizabeth Spain, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 175 S Union Blvd Ste 310, Colorado Springs, CO 80910 Phone: 719-365-1950 Fax: 719-365-1951 | |
Miss Jamie Elizabeth Brady, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 525 Bob Peters Grv Ste 302, Colorado Springs, CO 80909 Phone: 719-365-5445 Fax: 719-365-5530 | |
Varinia Vigueras, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4110 Briargate Pkwy Ste 460, Colorado Springs, CO 80920 Phone: 719-364-6488 | |
Caleb Seth Smith, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 175 S Union Blvd, Colorado Springs, CO 80910 Phone: 337-550-9939 | |
Bonnye Garman, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2020 W Colorado Ave, Suite 201, Colorado Springs, CO 80904 Phone: 719-473-3606 | |
Stacey Smith, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8115 Voyager Pkwy, Colorado Springs, CO 80920 Phone: 719-203-3300 | |
Jason Leehan, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1400 E Boulder St, Colorado Springs, CO 80909 Phone: 719-365-5000 Fax: 719-365-6827 |