| Michael J Oneill Md Pllc | |
|
1465 Kelly Johnson Blvd Suite 310 Colorado Springs CO 80920-3955 | |
| (719) 419-7490 | |
| (719) 309-6847 |
| Full Name | Michael J Oneill Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1465 Kelly Johnson Blvd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Michael J O'neill (PRESIDENT) |
| Authorized Official Contact | 7194651849 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Oneill Md Pllc 1465 Kelly Johnson Blvd Suite 310 Colorado Springs CO 80920-3955 Ph: (719) 419-7490 | Michael J Oneill Md Pllc 1465 Kelly Johnson Blvd Suite 310 Colorado Springs CO 80920-3955 Ph: (719) 419-7490 |
| NPI Number | 1700250073 |
|---|---|
| Provider Enumeration Date | 11/24/2015 |
| Last Update Date | 01/26/2016 |
| Medicare PECOS PAC ID | 8123324043 |
|---|---|
| Medicare Enrollment ID | O20160302002082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700250073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael J Oneill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215943808 PECOS PAC ID: 2860390226 Enrollment ID: I20131030001545 |
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