Potomac Square Family Medicine, Llc is a
Clinic/center - Primary Care based in Lakewood, Colorado. Potomac Square Family Medicine, Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
2595 S Lewis Way Ste A, Lakewood, Colorado. It can be reached at their office (for appointments etc.) via phone at
(303) 986-9583.
NPI number for Potomac Square Family Medicine, Llc is 1487263174 and their current mailing address is Po Box 173848, Denver, Colorado. Potomac Square Family Medicine, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1487263174.
Healthcare Provider's Profile
Full Name | Potomac Square Family Medicine, Llc |
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Type | Facility |
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Speciality | Clinic/center - Primary Care |
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Location | 2595 S Lewis Way Ste A, Lakewood, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487263174
- Provider Enumeration Date: 07/28/2020
- Last Update Date: 09/15/2020
Medical Identifiers
Medical identifiers for Potomac Square Family Medicine, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487263174 | NPI | - | NPPES |
72602554 | Medicaid | CO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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. Potomac Square Family Medicine, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Potomac Square Family Medicine, Llc Po Box 173848, Denver, CO 80217-3848 Ph: (303) 945-3299 | Potomac Square Family Medicine, Llc 2595 S Lewis Way Ste A, Lakewood, CO 80227-6555 Ph: (303) 986-9583 |
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