Genesis Eldercare Physician Services Llc | |
835 Tenderfoot Hill Rd # T Colorado Springs CO 80906 | |
(410) 543-1957 | |
(410) 543-2951 |
Full Name | Genesis Eldercare Physician Services Llc |
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Speciality | Internal Medicine |
Location | 835 Tenderfoot Hill Rd # T, Colorado Springs, Colorado |
Authorized Official Name and Position | Eric Shapiro (VICE PRESIDENT) |
Authorized Official Contact | 4108327790 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Genesis Eldercare Physician Services Llc Po Box 62946 Baltimore MD 21264-2946 Ph: (410) 494-7607 | Genesis Eldercare Physician Services Llc 835 Tenderfoot Hill Rd # T Colorado Springs CO 80906 Ph: (410) 543-1957 |
NPI Number | 1801215041 |
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Provider Enumeration Date | 04/15/2014 |
Last Update Date | 08/05/2019 |
Medicare PECOS PAC ID | 9830002534 |
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Medicare Enrollment ID | O20141007001168 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801215041 | NPI | - | NPPES |
Provider Name | Maureen Kelly |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518943554 PECOS PAC ID: 0345159034 Enrollment ID: I20070427000442 |
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