<unavail> in Boulder, CO - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Boulder, Colorado. The current practice location for is 4990 Pearl East Cir Ste 100b, Boulder, Colorado. For appointments, you can reach them via phone at (303) 415-5300. The mailing address for is Po Box 9049, Boulder, Colorado and phone number is (303) 415-5300.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1609822030. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (303) 415-5300.

Contact Information


	4990 Pearl East Cir Ste 100b Boulder CO 80301-2530
	(303) 415-5300
	(303) 415-4769

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	4990 Pearl East Cir Ste 100b, Boulder, Colorado
Authorized Official Name and Position	William A Munson (VICE PRESIDENT & CHIEF FINANCIAL OF)
Authorized Official Contact	3034157433
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 9049 Boulder CO 80301-9049 Ph: (303) 415-5300	4990 Pearl East Cir Ste 100b Boulder CO 80301-2530 Ph: (303) 415-5300

NPI Details:

NPI Number	1609822030
Provider Enumeration Date	05/26/2006
Last Update Date	07/05/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	6800707233
Medicare Enrollment ID	O20240325003352

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609822030	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Secondary
261QM1300X	Clinic/center - Multi-specialty	(* (Not Available))	Primary
261QM2500X	Clinic/center - Medical Specialty	(* (Not Available))	Secondary
261QP2000X	Clinic/center - Physical Therapy	(* (Not Available))	Secondary
261QP2300X	Clinic/center - Primary Care	(* (Not Available))	Secondary
261QU0200X	Clinic/center - Urgent Care	(* (Not Available))	Secondary
261QX0100X	Clinic/center - Occupational Medicine	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Eric Scholten
Provider Type	Practitioner - Pulmonary Disease
Provider Identifiers	NPI Number: 1003110313 PECOS PAC ID: 9436308350 Enrollment ID: I20190516000540

Reviews and Comments

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- Medicare Primary Care in Boulder, CO