| Highlands Family Medicine | |
|
4500 W 38th Ave Suite 220 Denver CO 80212 | |
| (303) 420-1297 | |
| (303) 420-2953 |
| Full Name | Highlands Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 4500 W 38th Ave, Denver, Colorado |
| Authorized Official Name and Position | Wendy Garduno (OFFICE MANAGER) |
| Authorized Official Contact | 3034201297 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Highlands Family Medicine 4500 W 38th Ave Suite 220 Denver CO 80212 Ph: (303) 420-1297 | Highlands Family Medicine 4500 W 38th Ave Suite 220 Denver CO 80212 Ph: (303) 420-1297 |
| NPI Number | 1164574562 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 09/20/2013 |
| Medicare PECOS PAC ID | 0547237919 |
|---|---|
| Medicare Enrollment ID | O20040914001379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164574562 | NPI | - | NPPES |
| 08550573 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Joseph T. Bednarek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386795029 PECOS PAC ID: 1153425236 Enrollment ID: I20100805000992 |
| Provider Name | Blaine M Olsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588715320 PECOS PAC ID: 9931395191 Enrollment ID: I20101130000590 |
| Provider Name | Virginia Lee Richey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992969398 PECOS PAC ID: 3870764459 Enrollment ID: I20110913000300 |
| Provider Name | Miriam Grace Sparkman Reece |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659546265 PECOS PAC ID: 3375713969 Enrollment ID: I20120802000588 |
| Provider Name | Lukas P Mcwhorter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538454780 PECOS PAC ID: 4284957556 Enrollment ID: I20141218001315 |
| Provider Name | Anna Beaumont Johanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124466016 PECOS PAC ID: 9436399359 Enrollment ID: I20171011000084 |
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