| Destiny Internal Medicine And Post Acute Care Services Pc | |
|
1550 S Potomac St Ste 110 Aurora CO 80012-5433 | |
| (720) 324-4777 | |
| (720) 262-4788 |
| Full Name | Destiny Internal Medicine And Post Acute Care Services Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1550 S Potomac St Ste 110, Aurora, Colorado |
| Authorized Official Name and Position | Romano Nteela Abuaba (PRESIDENT) |
| Authorized Official Contact | 7202538473 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Destiny Internal Medicine And Post Acute Care Services Pc 7665 S Eaton Park Ct Aurora CO 80016-4293 Ph: (720) 324-4777 | Destiny Internal Medicine And Post Acute Care Services Pc 1550 S Potomac St Ste 110 Aurora CO 80012-5433 Ph: (720) 324-4777 |
| NPI Number | 1639539174 |
|---|---|
| Provider Enumeration Date | 02/25/2016 |
| Last Update Date | 06/12/2021 |
| Medicare PECOS PAC ID | 6406153527 |
|---|---|
| Medicare Enrollment ID | O20160404002036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639539174 | NPI | - | NPPES |
| 483655 | Other | CO | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jarmila Pauckova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588771232 PECOS PAC ID: 7618060559 Enrollment ID: I20070907000572 |
| Provider Name | Joel H.l. Peacock |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1437223054 PECOS PAC ID: 3274665542 Enrollment ID: I20100722000133 |
| Provider Name | Romano Nteela Abuaba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295014710 PECOS PAC ID: 1951574169 Enrollment ID: I20111103000799 |
| Provider Name | Rachel June Wekesa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578954244 PECOS PAC ID: 4284936253 Enrollment ID: I20160107001589 |
| Provider Name | Mercy N Abuaba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336687524 PECOS PAC ID: 5597041681 Enrollment ID: I20170403002016 |
| Provider Name | Cassondra Mcqueen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134870942 PECOS PAC ID: 1456746874 Enrollment ID: I20220322002957 |
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