| Front Range Geriatric Medicine Llc | |
|
802 W Drake Rd Suite 101 Fort Collins CO 80526-5558 | |
| (970) 482-0198 | |
| Not Available |
| Full Name | Front Range Geriatric Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 802 W Drake Rd, Fort Collins, Colorado |
| Authorized Official Name and Position | Claudia M Dore (BILLING MANAGER) |
| Authorized Official Contact | 3036606561 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Front Range Geriatric Medicine Llc 802 W Drake Rd Suite 101 Fort Collins CO 80526-5558 Ph: (970) 482-0198 | Front Range Geriatric Medicine Llc 802 W Drake Rd Suite 101 Fort Collins CO 80526-5558 Ph: (970) 482-0198 |
| NPI Number | 1194261362 |
|---|---|
| Provider Enumeration Date | 01/12/2017 |
| Last Update Date | 01/14/2022 |
| Medicare PECOS PAC ID | 4981988649 |
|---|---|
| Medicare Enrollment ID | O20170327000116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194261362 | NPI | - | NPPES |
| Provider Name | Karyn Leible |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1043226368 PECOS PAC ID: 8820081805 Enrollment ID: I20040406000425 |
| Provider Name | Rosemary Cushman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891822847 PECOS PAC ID: 9931284106 Enrollment ID: I20080312000154 |
| Provider Name | Anne L Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730181363 PECOS PAC ID: 2466499116 Enrollment ID: I20080808000407 |
| Provider Name | Paul T Mayer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962466037 PECOS PAC ID: 2860560885 Enrollment ID: I20081003000680 |
| Provider Name | Ann E Hornbaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902817000 PECOS PAC ID: 4880753755 Enrollment ID: I20081106000555 |
| Provider Name | Cherie Glazner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962431395 PECOS PAC ID: 9436285426 Enrollment ID: I20100329001165 |
| Provider Name | Rebecca Rain Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568621613 PECOS PAC ID: 7012031743 Enrollment ID: I20100901000320 |
| Provider Name | Mary C Mcafee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811001639 PECOS PAC ID: 8527243336 Enrollment ID: I20110420000738 |
| Provider Name | Amber Shields Mccollum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255470266 PECOS PAC ID: 1658405816 Enrollment ID: I20110518000463 |
| Provider Name | Hasan Faraz Naqvi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1831332451 PECOS PAC ID: 9436309416 Enrollment ID: I20121029000487 |
| Provider Name | Jennifer K Beckman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134428709 PECOS PAC ID: 9335371178 Enrollment ID: I20140904001743 |
| Provider Name | Samuel J Mast |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780970426 PECOS PAC ID: 3476775123 Enrollment ID: I20141112001857 |
| Provider Name | Matthew Koors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699155192 PECOS PAC ID: 1153635347 Enrollment ID: I20160629000109 |
| Provider Name | Elizabeth Lorinda Longshore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730637463 PECOS PAC ID: 3678852969 Enrollment ID: I20161109000262 |
| Provider Name | Laura Garzio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861936544 PECOS PAC ID: 8123300332 Enrollment ID: I20170124001436 |
| Provider Name | Angela Condit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477946572 PECOS PAC ID: 4284951187 Enrollment ID: I20170216002529 |
| Provider Name | William B Stanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932436698 PECOS PAC ID: 0547584336 Enrollment ID: I20171113001925 |
| Provider Name | Christy Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982171666 PECOS PAC ID: 6608111455 Enrollment ID: I20181222000137 |
| Provider Name | Emily M Keen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104336189 PECOS PAC ID: 4082941810 Enrollment ID: I20190815003533 |
| Provider Name | Kimberly Anne Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962112664 PECOS PAC ID: 3577934306 Enrollment ID: I20230113001432 |
| Provider Name | Sampson Nchang Ndikum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073294757 PECOS PAC ID: 0345695854 Enrollment ID: I20231018000637 |
Children's Hospital Colorado Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1214 Oak Park Dr, Fort Collins, CO 80525 Phone: 970-267-9510 | |
Alpenglow Medical Prof. Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1006 Robertson St, Fort Collins, CO 80524 Phone: 970-482-3820 Fax: 970-482-4942 | |
Woodward Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3702 Automation Way, Suite 103, Fort Collins, CO 80525 Phone: 970-495-6201 | |
Starlight Health, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 313 W Drake Rd, Fort Collins, CO 80526 Phone: 970-632-0135 | |
Jan Hester Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 E Elizabeth #g1, Fort Collins, CO 80524 Phone: 970-493-2776 Fax: 970-493-2772 | |
Lifestyle Medicine At Miramont, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2211 S College Ave, Unit 300, Fort Collins, CO 80525 Phone: 970-237-6339 Fax: 970-482-2091 | |
J. David Cranor Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2105 Bighorn Dr., #102, Fort Collins, CO 80525 Phone: 970-226-6000 Fax: 970-226-6007 |