| Rozella Rebecca Clark, | |
|
1024 S Lemay Ave, Fort Collins, CO 80524-3929 | |
| (970) 495-7000 | |
| (303) 306-7753 |
| Full Name | Rozella Rebecca Clark |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1024 S Lemay Ave, Fort Collins, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790829224 | NPI | - | NPPES |
| 99487594 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5221 (Georgia) | Secondary |
| 363A00000X | Physician Assistant | PA1380 (Nevada) | Secondary |
| 363A00000X | Physician Assistant | PA.0004163 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Rozella Rebecca Clark, Po Box 912215, Denver, CO 80291-2215 Ph: (303) 306-7101 | Rozella Rebecca Clark, 1024 S Lemay Ave, Fort Collins, CO 80524-3929 Ph: (970) 495-7000 |
Karen L Bertasso, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1107 S Lemay Ave, Ste 240, Fort Collins, CO 80524 Phone: 970-495-7421 Fax: 970-495-7424 | |
Ms. Roberta J Brooks, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2127 E Harmony Rd, Suite 140, Fort Collins, CO 80528 Phone: 970-297-6250 Fax: 970-297-6260 | |
Eric Christopher Heckman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 E Prospect Rd, Fort Collins, CO 80525 Phone: 970-493-0112 Fax: 970-493-0521 | |
Mr. Michael D Jacobson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2121 E Harmony Rd, Suite 300, Fort Collins, CO 80528 Phone: 970-224-9102 Fax: 970-224-9112 | |
Heather L. Freeman, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524 Phone: 970-495-7000 Fax: 303-306-7753 | |
Laura Lynn Madigan, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2121 E Harmony Rd, Suite 310, Fort Collins, CO 80528 Phone: 970-221-3855 | |
Paige Elizabeth Bruning, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3702 S Timberline Rd Ste A, Fort Collins, CO 80525 Phone: 970-207-9773 |