Dr Shealeen A Panetta, OD | |
580 Mohawk Dr, Boulder, CO 80303-3712 | |
(303) 338-4545 | |
Not Available |
Full Name | Dr Shealeen A Panetta |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 20 Years |
Location | 580 Mohawk Dr, Boulder, Colorado |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194891457 | NPI | - | NPPES |
64778223 | Medicaid | CO | |
024871 | Other | CO | KAISER COMMERCIAL NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TA1960 (Maryland) | Secondary |
152W00000X | Optometrist | 2936 (Colorado) | Primary |
152W00000X | Optometrist | OP1000097 (District Of Columbia) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Colorado Permanente Medical Group Pc | 1254238454 | 1156 |
Provider Name | Colorado Permanente Medical Group Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640 |
Mailing Address | Practice Location Address |
---|---|
Dr Shealeen A Panetta, OD 2500 S Havana St, Aurora, CO 80014-1618 Ph: (303) 338-4545 | Dr Shealeen A Panetta, OD 580 Mohawk Dr, Boulder, CO 80303-3712 Ph: (303) 338-4545 |
Eyecare Center Of Boulder, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 1836 30th St, Boulder, CO 80301 Phone: 303-449-2401 Fax: 720-563-0157 | |
Dr. Paula Postma, Optometrist Optometrist Medicare: Medicare Enrolled Practice Location: 2885 Aurora Ave, Suite 4, Boulder, CO 80303 Phone: 303-443-2020 Fax: 303-444-2030 | |
Briana Renee Lovell, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1855 29th St # 1e-1156, Boulder, CO 80301 Phone: 720-565-0445 | |
Broadway Eye & Vision Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2648 Broadway St, Boulder, CO 80304 Phone: 303-938-8646 Fax: 303-938-4087 | |
Matthew L Tripp, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2800 Folsom St Ste C, Boulder, CO 80304 Phone: 303-442-6260 Fax: 303-447-0792 | |
Lawrence Fluss, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5305 Spine Rd Ste B, Boulder, CO 80301 Phone: 303-530-2020 | |
William B Britt Optometrist Medicare: Not Enrolled in Medicare Practice Location: 805 S Broadway St, Ste 101, Boulder, CO 80305 Phone: 303-494-4449 Fax: 303-499-5003 |