| Martin Mcdermott Md Pc | |
|
327 Park Ave Fort Lupton CO 80621-1929 | |
| (303) 857-2711 | |
| (303) 857-1408 |
| Full Name | Martin Mcdermott Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 327 Park Ave, Fort Lupton, Colorado |
| Authorized Official Name and Position | Martin Daniel Mcdermott (OWNER) |
| Authorized Official Contact | 3038572711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Mcdermott Md Pc 327 Park Ave Fort Lupton CO 80621-1929 Ph: (303) 857-2711 | Martin Mcdermott Md Pc 327 Park Ave Fort Lupton CO 80621-1929 Ph: (303) 857-2711 |
| NPI Number | 1205928264 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 02/11/2008 |
| Medicare PECOS PAC ID | 5597746743 |
|---|---|
| Medicare Enrollment ID | O20040525001142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205928264 | NPI | - | NPPES |
| 76628205 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Martin D Mcdermott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699784181 PECOS PAC ID: 8729013206 Enrollment ID: I20060316000185 |
| Provider Name | Amanda Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609251073 PECOS PAC ID: 7214231638 Enrollment ID: I20160205000250 |
| Provider Name | Jaden Amanda Houck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982169256 PECOS PAC ID: 6507106093 Enrollment ID: I20190320000791 |
| Provider Name | Sarah Kirby Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174162507 PECOS PAC ID: 3476972274 Enrollment ID: I20200928003233 |
| Provider Name | Aisling Aletta Ryan-abbott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033854179 PECOS PAC ID: 1850762170 Enrollment ID: I20230310000286 |
| Provider Name | Laura Kathryn Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215613468 PECOS PAC ID: 1456714278 Enrollment ID: I20230828001144 |
Deborah Green Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Park Ave, Fort Lupton, CO 80621 Phone: 303-857-6111 Fax: 303-857-2459 | |
Salud Family Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 203 S Rollie Ave, Fort Lupton, CO 80621 Phone: 303-892-6401 Fax: 303-286-4589 | |
Salud Family Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1115 2nd St, Fort Lupton, CO 80621 Phone: 303-697-2583 Fax: 303-322-9434 | |
Fort Lupton Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 Dexter St Ste 101, Fort Lupton, CO 80621 Phone: 303-857-2087 Fax: 303-857-2385 | |
Ft Lupton Medical Team Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 Denver Ave, Fort Lupton, CO 80621 Phone: 303-857-1007 Fax: 303-857-1227 |