<unavail> in Boulder, CO - Medicare Family Medicine

is a medicare enrolled primary clinic (Family Medicine) in Boulder, Colorado. The current practice location for is 2760 29th St Ste 2b, Boulder, Colorado. For appointments, you can reach them via phone at (303) 444-6400. The mailing address for is 2760 29th St Ste 2b, Boulder, Colorado and phone number is (303) 444-6400.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1164048161. 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) 444-6400.

Contact Information


	2760 29th St Ste 2b Boulder CO 80301-1221
	(303) 444-6400
	(303) 444-6465

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	2760 29th St Ste 2b, Boulder, Colorado
Authorized Official Name and Position	Lauren Jasilli (PRACTICE OWNER)
Authorized Official Contact	3034446400
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
2760 29th St Ste 2b Boulder CO 80301-1221 Ph: (303) 444-6400	2760 29th St Ste 2b Boulder CO 80301-1221 Ph: (303) 444-6400

NPI Details:

NPI Number	1164048161
Provider Enumeration Date	06/25/2020
Last Update Date	09/27/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	1557716016
Medicare Enrollment ID	O20231018002955

Medical Identifiers

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

Identifier	Type	State	Issuer
1164048161	NPI	-	NPPES
0126399	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family 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. acts as a billing entity for following providers:

Provider Name	Carl Albert Moritz
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1538128434 PECOS PAC ID: 0143232520 Enrollment ID: I20060629000355

Provider Name	Lauren Ruth Jasilli
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1184228934 PECOS PAC ID: 6901339688 Enrollment ID: I20241102000444

Reviews and Comments

Family Medicine in Boulder, CO

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- Medicare Primary Care in Boulder, CO