| Pearl Family Medicine Pc | |
|
1445 S Pearl St Denver CO 80210-2226 | |
| (720) 244-6993 | |
| Not Available |
| Full Name | Pearl Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1445 S Pearl St, Denver, Colorado |
| Authorized Official Name and Position | Lisa Rothgery (OWNER) |
| Authorized Official Contact | 3036003699 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearl Family Medicine Pc 1445 S Pearl St Denver CO 80210-2226 Ph: (303) 600-3699 | Pearl Family Medicine Pc 1445 S Pearl St Denver CO 80210-2226 Ph: (720) 244-6993 |
| NPI Number | 1558944637 |
|---|---|
| Provider Enumeration Date | 05/05/2021 |
| Last Update Date | 05/12/2022 |
| Medicare PECOS PAC ID | 9638561293 |
|---|---|
| Medicare Enrollment ID | O20220615002896 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558944637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lisa P Rothgery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780730317 PECOS PAC ID: 2961559331 Enrollment ID: I20090629000035 |
| Provider Name | Elizabeth Ballinger Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558097162 PECOS PAC ID: 0648654889 Enrollment ID: I20220907001286 |
| Provider Name | Jordan D Costlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083137202 PECOS PAC ID: 3375815376 Enrollment ID: I20240430004096 |
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