| Comfort Care Family Practice, Inc. | |
|
5799 Stetson Hills Blvd Colorado Springs CO 80917-4222 | |
| (719) 471-2273 | |
| (719) 380-0228 |
| Full Name | Comfort Care Family Practice, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 5799 Stetson Hills Blvd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Anita Wiescamp (OWNER) |
| Authorized Official Contact | 7195100957 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comfort Care Family Practice, Inc. 5799 Stetson Hills Blvd Colorado Springs CO 80917-4223 Ph: (719) 471-2273 | Comfort Care Family Practice, Inc. 5799 Stetson Hills Blvd Colorado Springs CO 80917-4222 Ph: (719) 471-2273 |
| NPI Number | 1396059184 |
|---|---|
| Provider Enumeration Date | 08/04/2010 |
| Last Update Date | 02/15/2024 |
| Medicare PECOS PAC ID | 1153593645 |
|---|---|
| Medicare Enrollment ID | O20111005000292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396059184 | NPI | - | NPPES |
| 46324275 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 49109 (Colorado) | Primary |
| Provider Name | Hannah Labove |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477087146 PECOS PAC ID: 3274944343 Enrollment ID: I20201120000444 |
| Provider Name | Christina Renee Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982170585 PECOS PAC ID: 5991170375 Enrollment ID: I20230418000268 |
| Provider Name | Raegan Brooke Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619662582 PECOS PAC ID: 4789041070 Enrollment ID: I20230531003505 |
| Provider Name | Gerardo Neri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255686234 PECOS PAC ID: 6709021629 Enrollment ID: I20231011004056 |
| Provider Name | Tara Rae Graf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649095639 PECOS PAC ID: 2365978863 Enrollment ID: I20241206002910 |
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