Homedoc, Pc | |
2584 Reserve St Erie CO 80516-2505 | |
(970) 391-4303 | |
Not Available |
Full Name | Homedoc, Pc |
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Speciality | Internal Medicine |
Location | 2584 Reserve St, Erie, Colorado |
Authorized Official Name and Position | Charles Scott Kopel (CMO) |
Authorized Official Contact | 9703914303 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Homedoc, Pc Po Box 479 Erie CO 80516-0479 Ph: (970) 391-4303 | Homedoc, Pc 2584 Reserve St Erie CO 80516-2505 Ph: (970) 391-4303 |
NPI Number | 1821818832 |
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Provider Enumeration Date | 10/14/2024 |
Last Update Date | 10/14/2024 |
Medicare PECOS PAC ID | 2961936927 |
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Medicare Enrollment ID | O20241113002013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821818832 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
Provider Name | Charles Kopel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518966415 PECOS PAC ID: 2365346582 Enrollment ID: I20061201000101 |
Provider Name | Alicia Michele Hennessee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174176457 PECOS PAC ID: 2961881933 Enrollment ID: I20220622000529 |
Boulder Medical Center, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 89 S Briggs St Ste 105, Erie, CO 80516 Phone: 303-673-0448 | |
Valar Medical Services, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 671 Mitchell Way Ste 210, Erie, CO 80516 Phone: 720-260-4634 | |
Boulder Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Erie Pkwy Ste 201h, Erie, CO 80516 Phone: 303-442-2395 |