| Peak Internal Medicine | |
|
400 S Mccaslin Blvd Ste 200 Louisville CO 80027-9701 | |
| (720) 222-0648 | |
| (720) 222-0654 |
| Full Name | Peak Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 S Mccaslin Blvd Ste 200, Louisville, Colorado |
| Authorized Official Name and Position | Jennifer Tamblyn (OWNER) |
| Authorized Official Contact | 7202729112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peak Internal Medicine 400 S Mccaslin Blvd Ste 200 Superior CO 80027-9701 Ph: (720) 222-0648 | Peak Internal Medicine 400 S Mccaslin Blvd Ste 200 Louisville CO 80027-9701 Ph: (720) 222-0648 |
| NPI Number | 1619452364 |
|---|---|
| Provider Enumeration Date | 09/28/2018 |
| Last Update Date | 06/11/2019 |
| Medicare PECOS PAC ID | 3678827672 |
|---|---|
| Medicare Enrollment ID | O20181109001913 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619452364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jennifer M Tamblyn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881860773 PECOS PAC ID: 1557436169 Enrollment ID: I20080815000654 |
| Provider Name | Gemma Stella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043661226 PECOS PAC ID: 1759669013 Enrollment ID: I20161021000259 |
| Provider Name | Elizabeth Fanning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699328120 PECOS PAC ID: 2466782123 Enrollment ID: I20190923001601 |
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