| Mobile Wound Rx Llc | |
|
6825 E Tennessee Ave Ste 350 Denver CO 80224-1630 | |
| (719) 223-1567 | |
| (888) 335-4480 |
| Full Name | Mobile Wound Rx Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6825 E Tennessee Ave Ste 350, Denver, Colorado |
| Authorized Official Name and Position | Jacob Weinstein (OWNER) |
| Authorized Official Contact | 7192231567 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Wound Rx Llc 700 Colorado Blvd # 735 Denver CO 80206-4084 Ph: (719) 224-0782 | Mobile Wound Rx Llc 6825 E Tennessee Ave Ste 350 Denver CO 80224-1630 Ph: (719) 223-1567 |
| NPI Number | 1740045780 |
|---|---|
| Provider Enumeration Date | 02/19/2024 |
| Last Update Date | 09/20/2024 |
| Medicare PECOS PAC ID | 7315387347 |
|---|---|
| Medicare Enrollment ID | O20240424002922 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740045780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 251E00000X | Home Health | (* (Not Available)) | Secondary |
| Provider Name | Michael P Mcgurren |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548248883 PECOS PAC ID: 8224224183 Enrollment ID: I20101118000485 |
| Provider Name | Jacob Zev Weinstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083002372 PECOS PAC ID: 0345541850 Enrollment ID: I20160616001225 |
| Provider Name | Jacqueline Carbone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386194942 PECOS PAC ID: 8426300153 Enrollment ID: I20181009000400 |
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