Bariatric And Lifestyle Medicine Llc | |
1939 Wilmington Dr Suite 102 Fort Collins CO 80528-6404 | |
(970) 980-6024 | |
(877) 489-6002 |
Full Name | Bariatric And Lifestyle Medicine Llc |
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Speciality | Internal Medicine |
Location | 1939 Wilmington Dr, Fort Collins, Colorado |
Authorized Official Name and Position | Melissa J Mccann (BILLING MANAGER) |
Authorized Official Contact | 9709806024 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bariatric And Lifestyle Medicine Llc 1939 Wilmington Dr Suite 102 Fort Collins CO 80528-6404 Ph: (970) 980-6024 | Bariatric And Lifestyle Medicine Llc 1939 Wilmington Dr Suite 102 Fort Collins CO 80528-6404 Ph: (970) 980-6024 |
NPI Number | 1851695985 |
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Provider Enumeration Date | 01/04/2011 |
Last Update Date | 01/04/2011 |
Medicare PECOS PAC ID | 3971789991 |
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Medicare Enrollment ID | O20110509000573 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851695985 | NPI | - | NPPES |
32801718 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RB0002X | Internal Medicine - Obesity Medicine | 37885 (Colorado) | Primary |
Provider Name | James D Hendrick |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073540571 PECOS PAC ID: 4385602549 Enrollment ID: I20041221000128 |
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