| Paul Mackell Md Pc | |
|
588 Us Highway 287 Ste 204 Lafayette CO 80026-2615 | |
| (303) 666-4606 | |
| (303) 666-4610 |
| Full Name | Paul Mackell Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 588 Us Highway 287 Ste 204, Lafayette, Colorado |
| Authorized Official Name and Position | Paul Mackell (PRESIDENT) |
| Authorized Official Contact | 3036664606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Mackell Md Pc 588 Us Highway 287 Ste 204 Lafayette CO 80026-2615 Ph: (303) 666-4606 | Paul Mackell Md Pc 588 Us Highway 287 Ste 204 Lafayette CO 80026-2615 Ph: (303) 666-4606 |
| NPI Number | 1639358518 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 05/22/2008 |
| Medicare PECOS PAC ID | 8921077660 |
|---|---|
| Medicare Enrollment ID | O20040929000370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639358518 | NPI | - | NPPES |
| 01253202 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25320 (Colorado) | Primary |
| Provider Name | Paul E Mackell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124174453 PECOS PAC ID: 8729057476 Enrollment ID: I20040929000431 |
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