| Presken Family Care Pc | |
|
20971 E Smoky Hill Rd Suite 107 Centennial CO 80015-5186 | |
| (720) 556-2001 | |
| Not Available |
| Full Name | Presken Family Care Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 20971 E Smoky Hill Rd, Centennial, Colorado |
| Authorized Official Name and Position | Deborah Shira Presken (PHYSICIAN OWNER) |
| Authorized Official Contact | 7205562001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Presken Family Care Pc 20971 E Smoky Hill Rd Suite 107 Centennial CO 80015-5186 Ph: (720) 556-2001 | Presken Family Care Pc 20971 E Smoky Hill Rd Suite 107 Centennial CO 80015-5186 Ph: (720) 556-2001 |
| NPI Number | 1134518467 |
|---|---|
| Provider Enumeration Date | 01/09/2015 |
| Last Update Date | 03/11/2015 |
| Medicare PECOS PAC ID | 8820317696 |
|---|---|
| Medicare Enrollment ID | O20150428002057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134518467 | NPI | - | NPPES |
| 44120265 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 42711 (Colorado) | Primary |
| Provider Name | Deborah S Presken |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700074846 PECOS PAC ID: 0547234957 Enrollment ID: I20040823000418 |
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