| Paragon Family Medicine, Pc | |
|
4999 E Kentucky Ave Ste 103 Denver CO 80246-3901 | |
| (720) 770-8199 | |
| (720) 770-8399 |
| Full Name | Paragon Family Medicine, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 4999 E Kentucky Ave Ste 103, Denver, Colorado |
| Authorized Official Name and Position | Mary Catherine Husney (PRESIDENT) |
| Authorized Official Contact | 3032046374 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paragon Family Medicine, Pc 4999 E Kentucky Ave Ste 103 Denver CO 80246-3901 Ph: (720) 770-8199 | Paragon Family Medicine, Pc 4999 E Kentucky Ave Ste 103 Denver CO 80246-3901 Ph: (720) 770-8199 |
| NPI Number | 1730534637 |
|---|---|
| Provider Enumeration Date | 04/28/2016 |
| Last Update Date | 09/01/2021 |
| Medicare PECOS PAC ID | 0244528065 |
|---|---|
| Medicare Enrollment ID | O20161011002893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730534637 | NPI | - | NPPES |
| 93179065 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 41315 (Colorado) | Primary |
| Provider Name | Mary Catherine W Husney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588607816 PECOS PAC ID: 9537141270 Enrollment ID: I20040604000904 |
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