- Medicare Primary Care in Boulder, CO

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is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Boulder, Colorado. The current practice location for is 1360 Walnut St Ste 110, Boulder, Colorado. For appointments, you can reach them via phone at (970) 693-0015. The mailing address for is 2205 Cordillera Way, Edwards, Colorado and phone number is (970) 693-0015.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1982327334. 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) 693-0015.

Contact Information

1360 Walnut St Ste 110
Boulder
CO 80302-5399
(970) 693-0015
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location1360 Walnut St Ste 110, Boulder, Colorado
Authorized Official Name and PositionAshley Blair Elder (REVENUE CYCLE ADMINISTRATOR)
Authorized Official Contact7372471223
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

2205 Cordillera Way
Edwards
CO 81632-6290

Ph: (970) 693-0015
1360 Walnut St Ste 110
Boulder
CO 80302-5399

Ph: (970) 693-0015

NPI Details:

NPI Number1982327334
Provider Enumeration Date09/21/2022
Last Update Date03/28/2023

Medicare PECOS Information:

Medicare PECOS PAC ID5890169726
Medicare Enrollment IDO20230427001365

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982327334NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (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 NameKathleen Daly
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1568781698
PECOS PAC ID: 0042533952
Enrollment ID: I20141230000683
Provider NameMichelle D Presley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578812178
PECOS PAC ID: 2860632916
Enrollment ID: I20160411001849
Provider NameAdam R Sheely
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689955049
PECOS PAC ID: 1153587282
Enrollment ID: I20170216000205
Provider NameAdriana B De Julio
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1942509583
PECOS PAC ID: 4183928989
Enrollment ID: I20191112002189
Provider NameJoshua Joseph Rodgers
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1477879237
PECOS PAC ID: 5597051789
Enrollment ID: I20220429000546
Provider NameJames Montgomery
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1861469603
PECOS PAC ID: 7416007034
Enrollment ID: I20230821002597
Provider NameOmar Elhaj
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1821103904
PECOS PAC ID: 0648289744
Enrollment ID: I20231114002528
Provider NameJerald Westendorf
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265903918
PECOS PAC ID: 3870835804
Enrollment ID: I20240722003713
Provider NameJohn Kubai
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740752062
PECOS PAC ID: 6305288523
Enrollment ID: I20240724001063
Provider NameCaleb Jayce Steen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033949136
PECOS PAC ID: 4284175266
Enrollment ID: I20240918000066

Reviews and Comments


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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.