| Applewood Pain Management | |
|
12505 W 32nd Ave Wheat Ridge CO 80033-5254 | |
| (303) 237-9617 | |
| Not Available |
| Full Name | Applewood Pain Management |
|---|---|
| Speciality | Clinic/Center |
| Location | 12505 W 32nd Ave, Wheat Ridge, Colorado |
| Authorized Official Name and Position | Robert Jackson (CLINIC DIRECTOR) |
| Authorized Official Contact | 3032379617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Applewood Pain Management 12505 W 32nd Ave Wheat Ridge CO 80033-5254 Ph: (303) 237-9617 | Applewood Pain Management 12505 W 32nd Ave Wheat Ridge CO 80033-5254 Ph: (303) 237-9617 |
| NPI Number | 1881309177 |
|---|---|
| Provider Enumeration Date | 01/20/2023 |
| Last Update Date | 01/20/2023 |
| Medicare PECOS PAC ID | 3971966318 |
|---|---|
| Medicare Enrollment ID | O20230831003517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881309177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Jessica Crowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437512605 PECOS PAC ID: 0749637825 Enrollment ID: I20231110001588 |
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