Dynamic Athlete Pllc in Boulder, CO - Medicare Internal Medicine

Dynamic Athlete Pllc is a medicare enrolled primary clinic (Internal Medicine - Sports Medicine) in Boulder, Colorado. The current practice location for Dynamic Athlete Pllc is 1790 30th St Ste 270, Boulder, Colorado. For appointments, you can reach them via phone at (303) 997-1733. The mailing address for Dynamic Athlete Pllc is 1790 30th St Ste 270, Boulder, Colorado and phone number is (303) 997-1733.

Dynamic Athlete Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1841986494. 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) 997-1733.

Contact Information

	Dynamic Athlete Pllc
	1790 30th St Ste 270 Boulder CO 80301-1085
	(303) 997-1733
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Dynamic Athlete Pllc
Speciality	Internal Medicine
Location	1790 30th St Ste 270, Boulder, Colorado
Authorized Official Name and Position	Nicole Allison (PRACTICE MANAGER)
Authorized Official Contact	3039971733
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dynamic Athlete Pllc 1790 30th St Ste 270 Boulder CO 80301-1085 Ph: (303) 997-1733	Dynamic Athlete Pllc 1790 30th St Ste 270 Boulder CO 80301-1085 Ph: (303) 997-1733

NPI Details:

NPI Number	1841986494
Provider Enumeration Date	04/17/2023
Last Update Date	01/10/2025

Medicare PECOS Information:

Medicare PECOS PAC ID	7113384033
Medicare Enrollment ID	O20230608002129

Medical Identifiers

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

Identifier	Type	State	Issuer
1841986494	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RS0010X	Internal Medicine - Sports 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. Dynamic Athlete Pllc acts as a billing entity for following providers:

Provider Name	Aneesh Garg
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1346537370 PECOS PAC ID: 1052537768 Enrollment ID: I20230224002667

Reviews and Comments

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Dynamic Athlete Pllc - Medicare Primary Care in Boulder, CO