| Colorado Springs Family Practice | |
|
2960 N Circle Dr Ste 200 Colorado Springs CO 80909-1163 | |
| (719) 634-8891 | |
| (719) 634-1897 |
| Full Name | Colorado Springs Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 2960 N Circle Dr Ste 200, Colorado Springs, Colorado |
| Authorized Official Name and Position | Alainya Dawson (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7192340549 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Springs Family Practice 2960 N Circle Dr Ste 200 Colorado Springs CO 80909-1163 Ph: (719) 634-8891 | Colorado Springs Family Practice 2960 N Circle Dr Ste 200 Colorado Springs CO 80909-1163 Ph: (719) 634-8891 |
| NPI Number | 1396359782 |
|---|---|
| Provider Enumeration Date | 09/02/2020 |
| Last Update Date | 07/27/2022 |
| Medicare PECOS PAC ID | 7315358835 |
|---|---|
| Medicare Enrollment ID | O20201204000256 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396359782 | NPI | - | NPPES |
| 9000187064 | Medicaid | CO |
| Provider Name | Thomas J Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649464439 PECOS PAC ID: 7012084247 Enrollment ID: I20101028001510 |
| Provider Name | Nicole A Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407121544 PECOS PAC ID: 3476701822 Enrollment ID: I20120910000895 |
| Provider Name | Darlene M Mcphee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699825307 PECOS PAC ID: 7214244243 Enrollment ID: I20150923001685 |
| Provider Name | Wendy M Stakley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407458011 PECOS PAC ID: 4587057682 Enrollment ID: I20220214001921 |
| Provider Name | Shelby Lynn Remolino |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356030282 PECOS PAC ID: 7911365648 Enrollment ID: I20230628000000 |
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