| |
2205 Cordillera Way Ste Ll Edwards CO 81632-6290 | |
(970) 693-0015 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 2205 Cordillera Way Ste Ll, Edwards, Colorado |
Authorized Official Name and Position | Christopher Austin (CFO) |
Authorized Official Contact | 7149265846 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
2205 Cordillera Way Ste Ll Edwards CO 81632-6290 Ph: (800) 829-4933 | 2205 Cordillera Way Ste Ll Edwards CO 81632-6290 Ph: (970) 693-0015 |
NPI Number | 1619573904 |
---|---|
Provider Enumeration Date | 12/10/2020 |
Last Update Date | 02/01/2024 |
Medicare PECOS PAC ID | 1759767833 |
---|---|
Medicare Enrollment ID | O20220927001058 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619573904 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Kathleen Daly |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1568781698 PECOS PAC ID: 0042533952 Enrollment ID: I20141230000683 |
Provider Name | Michelle D Presley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578812178 PECOS PAC ID: 2860632916 Enrollment ID: I20160411001849 |
Provider Name | Adam R Sheely |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689955049 PECOS PAC ID: 1153587282 Enrollment ID: I20170216000205 |
Provider Name | Adriana B De Julio |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1942509583 PECOS PAC ID: 4183928989 Enrollment ID: I20191112002189 |
Provider Name | Joshua Joseph Rodgers |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1477879237 PECOS PAC ID: 5597051789 Enrollment ID: I20220429000546 |
Provider Name | James Montgomery |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1861469603 PECOS PAC ID: 7416007034 Enrollment ID: I20230821002597 |
Provider Name | Omar Elhaj |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1821103904 PECOS PAC ID: 0648289744 Enrollment ID: I20231114002528 |
Provider Name | Jerald Westendorf |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265903918 PECOS PAC ID: 3870835804 Enrollment ID: I20240722003713 |
Provider Name | John Kubai |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740752062 PECOS PAC ID: 6305288523 Enrollment ID: I20240724001063 |
Provider Name | Caleb Jayce Steen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033949136 PECOS PAC ID: 4284175266 Enrollment ID: I20240918000066 |
Vail Infectious Disease, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1140 Edwards Village Blvd, Suite B105, Edwards, CO 81658 Phone: 970-390-6631 Fax: 303-750-8000 | |
Dennis Lipton, Md, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 28 2nd St Ste 216, Edwards, CO 81632 Phone: 970-446-5050 | |
Jamie Brant Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Beard Creek Rd, Edwards, CO 81632 Phone: 970-479-8500 |