Elevated Family Care Llc | |
8540 Scarborough Dr Ste 300 Colorado Springs CO 80920-7519 | |
(719) 755-0720 | |
Not Available |
Full Name | Elevated Family Care Llc |
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Speciality | Family Medicine |
Location | 8540 Scarborough Dr Ste 300, Colorado Springs, Colorado |
Authorized Official Name and Position | Kristin Sekelsky (OWNER) |
Authorized Official Contact | 9044294188 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elevated Family Care Llc 8540 Scarborough Dr Ste 300 Colorado Springs CO 80920-7519 Ph: (719) 755-0720 | Elevated Family Care Llc 8540 Scarborough Dr Ste 300 Colorado Springs CO 80920-7519 Ph: (719) 755-0720 |
NPI Number | 1346865797 |
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Provider Enumeration Date | 06/11/2020 |
Last Update Date | 06/14/2022 |
Medicare PECOS PAC ID | 3870916182 |
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Medicare Enrollment ID | O20200706000528 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346865797 | NPI | - | NPPES |
1821060062 | Other | CO | NPI |
1699148544 | Other | CO | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Matthew C Young |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821060062 PECOS PAC ID: 9234142076 Enrollment ID: I20060724000100 |
Provider Name | Kristin Sekelsky |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699148544 PECOS PAC ID: 7315249950 Enrollment ID: I20160113001993 |
Provider Name | Ian Kendall Chapman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922705557 PECOS PAC ID: 9234503954 Enrollment ID: I20230321000953 |
Provider Name | Amanda Barson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053183095 PECOS PAC ID: 8224486295 Enrollment ID: I20231201000195 |
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