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 |
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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 |
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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 |
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Provider Enumeration Date | 10/29/2007 |
Last Update Date | 05/22/2008 |
Medicare PECOS PAC ID | 8921077660 |
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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 |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124174453 PECOS PAC ID: 8729057476 Enrollment ID: I20040929000431 |
Banner Greeley Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Exempla Cir, Suite 200, Lafayette, CO 80026 Phone: 970-378-4433 | |