| Myheartlife Pllc | |
|
425 S Cherry St Ste 160 Denver CO 80246-1221 | |
| (303) 709-9275 | |
| Not Available |
| Full Name | Myheartlife Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 425 S Cherry St Ste 160, Denver, Colorado |
| Authorized Official Name and Position | Martin Yussman (OWNER) |
| Authorized Official Contact | 3037099275 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Myheartlife Pllc 460 N Clarkson St Denver CO 80218-3717 Ph: () - | Myheartlife Pllc 425 S Cherry St Ste 160 Denver CO 80246-1221 Ph: (303) 709-9275 |
| NPI Number | 1316429103 |
|---|---|
| Provider Enumeration Date | 08/29/2018 |
| Last Update Date | 03/15/2023 |
| Medicare PECOS PAC ID | 6800261785 |
|---|---|
| Medicare Enrollment ID | O20230406000472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316429103 | NPI | - | NPPES |
| 1053317966 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 42537 (Colorado) | Primary |
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