| Peaks Medical Pc | |
|
956 W. Anemone Trail Dillon CO 80435-8043 | |
| (314) 308-7681 | |
| (314) 666-8848 |
| Full Name | Peaks Medical Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 956 W. Anemone Trail, Dillon, Colorado |
| Authorized Official Name and Position | Nizar Assi (OWNER, CEO) |
| Authorized Official Contact | 3146401632 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peaks Medical Pc Po Box 6132 Chesterfield MO 63006-6132 Ph: (314) 640-1632 | Peaks Medical Pc 956 W. Anemone Trail Dillon CO 80435-8043 Ph: (314) 308-7681 |
| NPI Number | 1528797065 |
|---|---|
| Provider Enumeration Date | 06/09/2022 |
| Last Update Date | 06/09/2022 |
| Medicare PECOS PAC ID | 5395115687 |
|---|---|
| Medicare Enrollment ID | O20230103000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528797065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Nizar A Assi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1194772954 PECOS PAC ID: 7911991971 Enrollment ID: I20230103000182 |
| Provider Name | Sara K Herbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912349283 PECOS PAC ID: 8628201597 Enrollment ID: I20230109001774 |
| Provider Name | Stacy K Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720759988 PECOS PAC ID: 5193723997 Enrollment ID: I20230317000396 |
| Provider Name | Lydia L Sprouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891453395 PECOS PAC ID: 0042664294 Enrollment ID: I20230921004006 |
Howard Head Sports Medicine At Dillon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 365 Dillon Ridge Rd, Ste 100, Dillon, CO 80435 Phone: 970-479-7272 | |
Dillon Imaging Services Echo Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 365 Dillon Ridge Rd, Ste 1100, Dillon, CO 80435 Phone: 970-479-7272 | |
Dillon Imaging Services X-ray Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 365 Dillon Ridge Rd, Ste 1200, Dillon, CO 80435 Phone: 970-479-7272 | |
Breast Imaging Clinic Dillon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 365 Dillon Ridge Rd, Ste 2100, Dillon, CO 80435 Phone: 970-479-7272 | |
Shaw Cancer Center At Dillon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 365 Dillon Ridge Rd, Ste 2200, Dillon, CO 80435 Phone: 970-479-7272 | |
Summit Community Care Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 0108 Deerpath Road, Dillon, CO 80435 Phone: 970-668-4040 Fax: 970-668-6699 |