| Premier Family Medicine | |
|
2960 N Circle Dr Ste 125 Colorado Springs CO 80909-1164 | |
| (719) 428-2065 | |
| (719) 635-8333 |
| Full Name | Premier Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 2960 N Circle Dr Ste 125, Colorado Springs, Colorado |
| Authorized Official Name and Position | Ashley Wiechmann (ADMINISTRATOR) |
| Authorized Official Contact | 7196504347 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Family Medicine 2960 N Circle Dr Ste 125 Colorado Springs CO 80909-1164 Ph: (719) 428-2065 | Premier Family Medicine 2960 N Circle Dr Ste 125 Colorado Springs CO 80909-1164 Ph: (719) 428-2065 |
| NPI Number | 1265429872 |
|---|---|
| Provider Enumeration Date | 09/29/2005 |
| Last Update Date | 09/11/2021 |
| Medicare PECOS PAC ID | 4183515851 |
|---|---|
| Medicare Enrollment ID | O20040323000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265429872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles David Bird |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134164718 PECOS PAC ID: 3476533019 Enrollment ID: I20100317000519 |
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