Preferred Provider Services, Llc | |
3025 S Parker Rd Suite 100 Aurora CO 80014-2911 | |
(303) 481-7030 | |
(303) 745-7665 |
Full Name | Preferred Provider Services, Llc |
---|---|
Speciality | Internal Medicine |
Location | 3025 S Parker Rd, Aurora, Colorado |
Authorized Official Name and Position | Bobbie Livingston (OWNER/PRESIDENT) |
Authorized Official Contact | 3034817030 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Preferred Provider Services, Llc 3025 S Parker Rd Suite 100 Aurora CO 80014-2911 Ph: (303) 481-7030 | Preferred Provider Services, Llc 3025 S Parker Rd Suite 100 Aurora CO 80014-2911 Ph: (303) 481-7030 |
NPI Number | 1275813297 |
---|---|
Provider Enumeration Date | 08/22/2011 |
Last Update Date | 03/30/2014 |
Medicare PECOS PAC ID | 1951565647 |
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Medicare Enrollment ID | O20120608000291 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275813297 | NPI | - | NPPES |
01789759 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Bobbie J Livingston |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336268010 PECOS PAC ID: 4385546241 Enrollment ID: I20071127000637 |
Provider Name | Vincent B Adamo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548244569 PECOS PAC ID: 5890791891 Enrollment ID: I20090206000520 |
Provider Name | Karlee N Chapman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013247808 PECOS PAC ID: 0143344622 Enrollment ID: I20100907000225 |
Provider Name | Mehul V Gandhi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497865216 PECOS PAC ID: 6608922661 Enrollment ID: I20130411000369 |
Provider Name | Carolyn M Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861873887 PECOS PAC ID: 2466753793 Enrollment ID: I20151210001788 |
Provider Name | Daniela L Souza |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245600543 PECOS PAC ID: 0446554992 Enrollment ID: I20160204000299 |
Provider Name | Darcy A Koehn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376730259 PECOS PAC ID: 4183714728 Enrollment ID: I20170710001098 |
Provider Name | Gwendolyn Eshie Elango |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679121016 PECOS PAC ID: 2668801010 Enrollment ID: I20200406001687 |
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