| Marina Ivashchenko, Md, Pc | |
|
9898 Rosemont Ave Bldg 4, Suite 104 Lone Tree CO 80124-4107 | |
| (303) 799-7978 | |
| (303) 790-4045 |
| Full Name | Marina Ivashchenko, Md, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9898 Rosemont Ave, Lone Tree, Colorado |
| Authorized Official Name and Position | Marina Ivashchenko (PRESIDENT) |
| Authorized Official Contact | 3037997978 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marina Ivashchenko, Md, Pc 9898 Rosemont Ave Bldg 4, Suite 104 Lone Tree CO 80124-4107 Ph: (303) 799-7978 | Marina Ivashchenko, Md, Pc 9898 Rosemont Ave Bldg 4, Suite 104 Lone Tree CO 80124-4107 Ph: (303) 799-7978 |
| NPI Number | 1316251929 |
|---|---|
| Provider Enumeration Date | 08/06/2010 |
| Last Update Date | 10/01/2013 |
| Medicare PECOS PAC ID | 1951425784 |
|---|---|
| Medicare Enrollment ID | O20100901000136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316251929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Marina Alexander Ivashchenko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235276593 PECOS PAC ID: 2860516697 Enrollment ID: I20100901000195 |
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