Internal Medicine Associates Of The Grand Valley - Medicare Primary Care in Grand Junction, CO

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Internal Medicine Associates Of The Grand Valley is a medicare enrolled primary clinic (Internal Medicine) in Grand Junction, Colorado. The current practice location for Internal Medicine Associates Of The Grand Valley is 607 28 1/4 Rd, Grand Junction, Colorado. For appointments, you can reach them via phone at (970) 243-3300. The mailing address for Internal Medicine Associates Of The Grand Valley is Po Box 1727, Grand Junction, Colorado and phone number is (970) 263-2619.

Internal Medicine Associates Of The Grand Valley is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1043640634. 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 (970) 243-3300.

Contact Information

Internal Medicine Associates Of The Grand Valley
607 28 1/4 Rd
Grand Junction
CO 81506-6023
(970) 243-3300
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameInternal Medicine Associates Of The Grand Valley
SpecialityInternal Medicine
Location607 28 1/4 Rd, Grand Junction, Colorado
Authorized Official Name and PositionChristian Thomas (PRESIDENT/CEO)
Authorized Official Contact9702566200
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Internal Medicine Associates Of The Grand Valley
Po Box 1727
Grand Junction
CO 81502-1727

Ph: (970) 263-2619		Internal Medicine Associates Of The Grand Valley
607 28 1/4 Rd
Grand Junction
CO 81506-6023

Ph: (970) 243-3300

NPI Details:

NPI Number1043640634
Provider Enumeration Date11/18/2013
Last Update Date04/24/2020

Medicare PECOS Information:

Medicare PECOS PAC ID1052612785
Medicare Enrollment IDO20151222000695

Medical Identifiers

Medical identifiers for Internal Medicine Associates Of The Grand Valley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043640634NPI-NPPES
26155360MedicaidCO
9000124743MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Internal Medicine Associates Of The Grand Valley acts as a billing entity for following providers:
Provider NameRobert S Brooks
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1316979255
PECOS PAC ID: 2062307572
Enrollment ID: I20040216000253
Provider NameSue E Hanson
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1558473082
PECOS PAC ID: 0143218578
Enrollment ID: I20040504001460
Provider NameRichard G Doyle
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942252275
PECOS PAC ID: 1759278526
Enrollment ID: I20040525001284
Provider NameWilliam M Moeller
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750325858
PECOS PAC ID: 8729030788
Enrollment ID: I20050217000675
Provider NameArianna Marie Andersen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558436618
PECOS PAC ID: 9830120815
Enrollment ID: I20050830000279
Provider NameLori A Fay
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376505958
PECOS PAC ID: 5698700532
Enrollment ID: I20050929000598
Provider NameOna L Ridgway
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225005390
PECOS PAC ID: 0446271092
Enrollment ID: I20051212000546
Provider NameAngela Yue-ting Gao
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528010527
PECOS PAC ID: 2567467848
Enrollment ID: I20060919000601
Provider NameAndrew J Morse
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1790715720
PECOS PAC ID: 8820190424
Enrollment ID: I20070228000646
Provider NameRichard G Garmany
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1962446302
PECOS PAC ID: 0840205365
Enrollment ID: I20070531000145
Provider NameKirk D Clifford
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1366478034
PECOS PAC ID: 9931106630
Enrollment ID: I20070606000773
Provider NameKerry L Beinlich
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457496408
PECOS PAC ID: 3678662293
Enrollment ID: I20071205000244
Provider NameLaurie C Cox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972787851
PECOS PAC ID: 5597849539
Enrollment ID: I20080228000528
Provider NameJohn D Altman
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1780680777
PECOS PAC ID: 8628052719
Enrollment ID: I20080723000399
Provider NameFlorian D Seeberger
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1356464325
PECOS PAC ID: 5597865964
Enrollment ID: I20080804000222
Provider NameMelissa A Schmalz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790906261
PECOS PAC ID: 7012076268
Enrollment ID: I20081104000104
Provider NameMatthew M Langston
Provider TypePractitioner - Interventional Pain Management
Provider IdentifiersNPI Number: 1740327014
PECOS PAC ID: 4789747288
Enrollment ID: I20090109000300
Provider NameDeborah L Twardowski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720055890
PECOS PAC ID: 9335206911
Enrollment ID: I20090326000106
Provider NameMark A Twardowski
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437118387
PECOS PAC ID: 9436174406
Enrollment ID: I20090605000191
Provider NameBehzad Molavi
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1306936885
PECOS PAC ID: 6709893753
Enrollment ID: I20090608000151
Provider NameWilliam A Foutz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427097690
PECOS PAC ID: 1153477153
Enrollment ID: I20090916000347
Provider NameMarkus Wettstein
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1437125127
PECOS PAC ID: 9739170184
Enrollment ID: I20091007000263
Provider NameDonald E Maier
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922064229
PECOS PAC ID: 7416047659
Enrollment ID: I20091211000302
Provider NameBarry W Holcomb
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346206745
PECOS PAC ID: 6507956745
Enrollment ID: I20091211000424
Provider NameDaniela J Schupp
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1215103692
PECOS PAC ID: 1254475833
Enrollment ID: I20100219000691
Provider NameJames S Gebhard
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1811989114
PECOS PAC ID: 6002847373
Enrollment ID: I20100428000386
Provider NameCharles S Nowak
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679564058
PECOS PAC ID: 3173596749
Enrollment ID: I20100802000453
Provider NameEugene Lee Hardin
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1750354874
PECOS PAC ID: 0749215465
Enrollment ID: I20100802000940
Provider NameWilliam D Hoisington
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801893409
PECOS PAC ID: 4688761281
Enrollment ID: I20100820000787
Provider NameDavid S Robbins
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1982706321
PECOS PAC ID: 5496749731
Enrollment ID: I20101014000491
Provider NameKathy E Howe
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700846318
PECOS PAC ID: 1658284856
Enrollment ID: I20101020001038
Provider NameVicky Mathwig
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730336058
PECOS PAC ID: 5395925416
Enrollment ID: I20110207000895
Provider NameAnnette Lynn Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033195920
PECOS PAC ID: 9234319823
Enrollment ID: I20110215000242
Provider NameRuth Higdon
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1457457020
PECOS PAC ID: 1153318944
Enrollment ID: I20110519000396
Provider NameAngela Lynn Kurtz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083734313
PECOS PAC ID: 7517051345
Enrollment ID: I20111201000064
Provider NameRoy O Mears
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679733695
PECOS PAC ID: 6800044009
Enrollment ID: I20120913000075
Provider NameNancy Lange
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942306279
PECOS PAC ID: 7810895034
Enrollment ID: I20130123000267
Provider NameAngela Giampaolo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720205479
PECOS PAC ID: 2769668714
Enrollment ID: I20130503000204
Provider NameAmanda N Coltrinari
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003153719
PECOS PAC ID: 5294974242
Enrollment ID: I20130624000122
Provider NameQaisar Khan
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1952344301
PECOS PAC ID: 3577566454
Enrollment ID: I20130729000176
Provider NameDavid Johansen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114248465
PECOS PAC ID: 1557502804
Enrollment ID: I20130729000627
Provider NameDavid J Lundy
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1902179146
PECOS PAC ID: 5799932893
Enrollment ID: I20131011001009
Provider NameElizabeth Ann Mccarrel
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1457663189
PECOS PAC ID: 6901027853
Enrollment ID: I20141020000359
Provider NameBrent Allen Woodson
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1710133491
PECOS PAC ID: 2668694308
Enrollment ID: I20141112001371
Provider NameGlenn Edgar Bigsby
Provider TypePractitioner - Gynecological Oncology
Provider IdentifiersNPI Number: 1821045584
PECOS PAC ID: 5597864314
Enrollment ID: I20150302001752
Provider NameElizabeth R Crawford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780070722
PECOS PAC ID: 9335469618
Enrollment ID: I20150528001099
Provider NameEnrique Orellana
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1689921603
PECOS PAC ID: 8628389210
Enrollment ID: I20150624000134
Provider NameGina Carr
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114281169
PECOS PAC ID: 0648580761
Enrollment ID: I20151102001730
Provider NameTiffini Young
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1639446339
PECOS PAC ID: 6709181084
Enrollment ID: I20160224001700
Provider NameNatalie Chilton
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1538594916
PECOS PAC ID: 3779710967
Enrollment ID: I20160407000134
Provider NameRandall Coffey
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437193679
PECOS PAC ID: 3274667423
Enrollment ID: I20160705001248
Provider NameKara A Danner
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1245251339
PECOS PAC ID: 9436252939
Enrollment ID: I20161117000203
Provider NameKatherine Marie Mckee-cole
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1700102027
PECOS PAC ID: 7113159344
Enrollment ID: I20161227001991
Provider NameAdam Baker
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1891010674
PECOS PAC ID: 9537383815
Enrollment ID: I20170118002392
Provider NameChelsea M Arata
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144778507
PECOS PAC ID: 8224311683
Enrollment ID: I20170208002193
Provider NameSeema S Wetzel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356780381
PECOS PAC ID: 1153563895
Enrollment ID: I20170215001176
Provider NameAndrea Liggett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629510979
PECOS PAC ID: 3971888405
Enrollment ID: I20170324001876
Provider NameHeather Tobin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073068532
PECOS PAC ID: 1658657416
Enrollment ID: I20170410000800
Provider NameAshley E Whitney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093249971
PECOS PAC ID: 8123395050
Enrollment ID: I20170525000944
Provider NameBjorn Irion
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578908273
PECOS PAC ID: 3870897085
Enrollment ID: I20170810002547
Provider NameMorgan Irion
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124463005
PECOS PAC ID: 5890009583
Enrollment ID: I20170905003243
Provider NameSara B Winsor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558881060
PECOS PAC ID: 5799059044
Enrollment ID: I20170925003360
Provider NameSarah J Rauch
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1629587324
PECOS PAC ID: 6709142565
Enrollment ID: I20171110000328
Provider NameAlicia May Olson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871010066
PECOS PAC ID: 2769741057
Enrollment ID: I20180112000148
Provider NameJosten Foley
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1699227272
PECOS PAC ID: 4688956865
Enrollment ID: I20180309000426
Provider NameJoshua David Thun
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1518380872
PECOS PAC ID: 2567770555
Enrollment ID: I20180327000616
Provider NameMegan Sisk
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1306132279
PECOS PAC ID: 9537300819
Enrollment ID: I20180413000287
Provider NameKatherine Eckroth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336656941
PECOS PAC ID: 5294081287
Enrollment ID: I20180705001137
Provider NameLauren E Murphy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710416581
PECOS PAC ID: 7214284280
Enrollment ID: I20180723000169
Provider NameJennifer June Crowe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023445897
PECOS PAC ID: 7416206404
Enrollment ID: I20180824000554
Provider NameTravis Michael Averitt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083094593
PECOS PAC ID: 0143519595
Enrollment ID: I20180917001261
Provider NameCourtney Fulton
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1487130670
PECOS PAC ID: 5799037131
Enrollment ID: I20181011002582
Provider NameYumi E Lee
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1306270004
PECOS PAC ID: 8022318427
Enrollment ID: I20190416000433
Provider NameEric Ray Behrman
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1982998969
PECOS PAC ID: 6901055201
Enrollment ID: I20190416001541
Provider NameOmar Mctabi
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1932587003
PECOS PAC ID: 1951696012
Enrollment ID: I20190604002091
Provider NameAlex Budiman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700229721
PECOS PAC ID: 8325334881
Enrollment ID: I20190618002159
Provider NameLandon E Pettit
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205392560
PECOS PAC ID: 4082949391
Enrollment ID: I20190709002075
Provider NameNicole Stanley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588126957
PECOS PAC ID: 5092041699
Enrollment ID: I20190719000048
Provider NameErin M Mcguinn
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1467895441
PECOS PAC ID: 1355644154
Enrollment ID: I20190725002143
Provider NameKatelyn Joy Weaver
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114580271
PECOS PAC ID: 5597091306
Enrollment ID: I20190731001076
Provider NameRebecca Magrath Fulmer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437505336
PECOS PAC ID: 4284927229
Enrollment ID: I20190819002151
Provider NameSarah R Cortez
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1508252958
PECOS PAC ID: 5698073179
Enrollment ID: I20190826000731
Provider NameRichard John Zogala
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1962842955
PECOS PAC ID: 5092043059
Enrollment ID: I20190828004234
Provider NameChristopher Lee Blair
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821632860
PECOS PAC ID: 7911336912
Enrollment ID: I20200326000824
Provider NameEmily Ambrose
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1225457997
PECOS PAC ID: 5597080234
Enrollment ID: I20200617002237
Provider NameAaron Moore
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932637246
PECOS PAC ID: 0941579775
Enrollment ID: I20200908002360
Provider NameAudrey Kramer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497098065
PECOS PAC ID: 5395983373
Enrollment ID: I20201008002533
Provider NameMikala Trumbo
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1760092308
PECOS PAC ID: 1850701988
Enrollment ID: I20201102000022
Provider NameZebulon H Friedly
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649703042
PECOS PAC ID: 2264701036
Enrollment ID: I20201118001230
Provider NameTodd M James
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1467764498
PECOS PAC ID: 3476700105
Enrollment ID: I20210407001619
Provider NameJames Thomas Sheller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154915346
PECOS PAC ID: 9830599745
Enrollment ID: I20210615001682
Provider NameRobert M Miley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144519562
PECOS PAC ID: 8224253232
Enrollment ID: I20210722001587
Provider NameJohn Nozykowski
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083103196
PECOS PAC ID: 7315296274
Enrollment ID: I20210913002142
Provider NameRyan O'dell
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1588027247
PECOS PAC ID: 2567759335
Enrollment ID: I20210916001528
Provider NameBruce W Sharp
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477042596
PECOS PAC ID: 4688923600
Enrollment ID: I20210927003279
Provider NameRaelynn C Hilgenfeld
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306416094
PECOS PAC ID: 3971992801
Enrollment ID: I20211116000882
Provider NameSilvanna Esposito
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790275535
PECOS PAC ID: 5395149645
Enrollment ID: I20220705002704
Provider NameRenaissance Zillioux
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285363879
PECOS PAC ID: 7618358946
Enrollment ID: I20220719000551
Provider NameTiffany N Smith
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235797713
PECOS PAC ID: 9537494422
Enrollment ID: I20220912003784
Provider NameLinnea Christine Fechtner
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1467815829
PECOS PAC ID: 3375882079
Enrollment ID: I20220928002164
Provider NameMerri May
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528786894
PECOS PAC ID: 6608244504
Enrollment ID: I20221128001431
Provider NameMatthew Horton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669032876
PECOS PAC ID: 8527471523
Enrollment ID: I20221207001457
Provider NameJillian Thompson
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1962935734
PECOS PAC ID: 2668741604
Enrollment ID: I20230816001627
Provider NameChristopher Boyd
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1003201856
PECOS PAC ID: 5193001527
Enrollment ID: I20230816003910
Provider NameIsh Singla
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1215111422
PECOS PAC ID: 1254572134
Enrollment ID: I20231110001584
Provider NameFrank L Hewitt
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1699828830
PECOS PAC ID: 9638165905
Enrollment ID: I20240123003634
Provider NameMarissa Hewitt
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1750434981
PECOS PAC ID: 6305813072
Enrollment ID: I20240130001024
Provider NameRyan Mallory
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1548674096
PECOS PAC ID: 4183849912
Enrollment ID: I20240130003385
Provider NameRajeev Pillai
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1093970071
PECOS PAC ID: 7810063617
Enrollment ID: I20240202001623
Provider NameStacy Henderson
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1457618316
PECOS PAC ID: 3476833096
Enrollment ID: I20240219000495
Provider NameCharles Glover
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1891955456
PECOS PAC ID: 3173753498
Enrollment ID: I20240307001071
Provider NameDezirae Ashley Freeman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720843956
PECOS PAC ID: 9436598596
Enrollment ID: I20240422003292
Provider NameKayla Covington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326808866
PECOS PAC ID: 6305285370
Enrollment ID: I20240424000139
Provider NameEsther L Kannapel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679523831
PECOS PAC ID: 6406838416
Enrollment ID: I20240424003839
Provider NameAlexandria Powell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023762937
PECOS PAC ID: 7113305699
Enrollment ID: I20240425002551
Provider NameColton Lee Palmer
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1649731779
PECOS PAC ID: 9537500053
Enrollment ID: I20240515003166

Reviews and Comments


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Phone: 970-298-2800    Fax: 970-298-6902

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.