| Newelldixon, Pllc | |
|
691 County Road 233 Ste A3 Durango CO 81301-6580 | |
| (970) 475-4300 | |
| (970) 515-7054 |
| Full Name | Newelldixon, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 691 County Road 233 Ste A3, Durango, Colorado |
| Authorized Official Name and Position | Sara E Mcevers (NURSE PRACTITIONER OWNER) |
| Authorized Official Contact | 5055007375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Newelldixon, Pllc 691 County Road 233 Ste A3 Durango CO 81301-6580 Ph: (970) 475-4300 | Newelldixon, Pllc 691 County Road 233 Ste A3 Durango CO 81301-6580 Ph: (970) 475-4300 |
| NPI Number | 1467811224 |
|---|---|
| Provider Enumeration Date | 02/22/2016 |
| Last Update Date | 12/29/2021 |
| Medicare PECOS PAC ID | 0446540330 |
|---|---|
| Medicare Enrollment ID | O20160606001288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467811224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 100100 (Colorado) | Primary |
| Provider Name | Thomas David Newell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962493833 PECOS PAC ID: 4284945528 Enrollment ID: I20150612001585 |
| Provider Name | Vitina M Cosse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790032787 PECOS PAC ID: 1850699117 Enrollment ID: I20180427000205 |
| Provider Name | Sara E Mcevers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457881625 PECOS PAC ID: 0648538785 Enrollment ID: I20210114001248 |
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