| Infectious Disease Specialists Pc | |
|
3230 E Woodmen Rd Suite 210 Colorado Springs CO 80920 | |
| (719) 578-5176 | |
| (719) 578-5188 |
| Full Name | Infectious Disease Specialists Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3230 E Woodmen Rd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Susan Ogden (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7195785176 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Specialists Pc 3230 E Woodmen Rd Suite 210 Colorado Springs CO 80920 Ph: (719) 578-5176 | Infectious Disease Specialists Pc 3230 E Woodmen Rd Suite 210 Colorado Springs CO 80920 Ph: (719) 578-5176 |
| NPI Number | 1952301202 |
|---|---|
| Provider Enumeration Date | 07/28/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 6901874098 |
|---|---|
| Medicare Enrollment ID | O20040916001255 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952301202 | NPI | - | NPPES |
| 04016804 | Medicaid | CO | |
| 2432037 | Other | CO | AETNA |
| CG7556 | Other | CO | RAIL ROAD MEDICARE |
| 607027 | Other | CO | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (Colorado) | Primary |
| Provider Name | Peter R Brookmeyer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881658839 PECOS PAC ID: 9830101880 Enrollment ID: I20060613000036 |
| Provider Name | Elizabeth A Kleiner |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891713731 PECOS PAC ID: 3375575228 Enrollment ID: I20091106000301 |
| Provider Name | Thomas A Hackenberg |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659371524 PECOS PAC ID: 1557497716 Enrollment ID: I20100327000287 |
| Provider Name | Carl Allen D Bernas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841454311 PECOS PAC ID: 5092941963 Enrollment ID: I20141217000466 |
| Provider Name | Matthew A Hevey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356769590 PECOS PAC ID: 3870872286 Enrollment ID: I20190625000830 |
| Provider Name | Barbara G Bielska |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801864251 PECOS PAC ID: 0345383931 Enrollment ID: I20230228003303 |
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