| Rocky Mountain Clinics Llc | |
|
1120 E Elizabeth St Ste G2 Fort Collins CO 80524-4044 | |
| (970) 493-9193 | |
| Not Available |
| Full Name | Rocky Mountain Clinics Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1120 E Elizabeth St Ste G2, Fort Collins, Colorado |
| Authorized Official Name and Position | Sabrina Gibson (CFO) |
| Authorized Official Contact | 9704939193 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Mountain Clinics Llc 1120 E Elizabeth St Ste G2 Fort Collins CO 80524-4044 Ph: () - | Rocky Mountain Clinics Llc 1120 E Elizabeth St Ste G2 Fort Collins CO 80524-4044 Ph: (970) 493-9193 |
| NPI Number | 1295450294 |
|---|---|
| Provider Enumeration Date | 10/11/2022 |
| Last Update Date | 03/14/2023 |
| Medicare PECOS PAC ID | 5597136218 |
|---|---|
| Medicare Enrollment ID | O20230117001707 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295450294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeremy A Dubin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386699973 PECOS PAC ID: 0547156689 Enrollment ID: I20040310001017 |
| Provider Name | Colleen Weissmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760465959 PECOS PAC ID: 3375502396 Enrollment ID: I20041006000397 |
| Provider Name | Brian E Cooper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073673166 PECOS PAC ID: 6305810631 Enrollment ID: I20110825000552 |
| Provider Name | Claudia R Imes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477797207 PECOS PAC ID: 5991945545 Enrollment ID: I20130703000153 |
| Provider Name | Jill K Erlenbusch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891028288 PECOS PAC ID: 1658594841 Enrollment ID: I20140515000537 |
| Provider Name | Karen R Bant-kreutzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093146110 PECOS PAC ID: 1557584414 Enrollment ID: I20140521001664 |
| Provider Name | Clark Mccoy |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1871517912 PECOS PAC ID: 2567481005 Enrollment ID: I20160201000213 |
| Provider Name | Melissa C Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972985331 PECOS PAC ID: 7719272301 Enrollment ID: I20160822001116 |
| Provider Name | Kathleen Crislip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568974160 PECOS PAC ID: 6204195217 Enrollment ID: I20180122000465 |
| Provider Name | Rachel J Mommer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053801647 PECOS PAC ID: 0840546958 Enrollment ID: I20180703001268 |
| Provider Name | Robin Bangasser Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235612185 PECOS PAC ID: 9436401742 Enrollment ID: I20181016000502 |
| Provider Name | Collin Zander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992086839 PECOS PAC ID: 8527398833 Enrollment ID: I20190930003223 |
| Provider Name | James F Martinchick |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982640637 PECOS PAC ID: 9133194459 Enrollment ID: I20200124001759 |
| Provider Name | Karissa Gayosso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841836699 PECOS PAC ID: 7113356973 Enrollment ID: I20200421000291 |
| Provider Name | Jacquelyn Shawn Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215408893 PECOS PAC ID: 1052733995 Enrollment ID: I20200622002151 |
| Provider Name | Joshua Hammond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831621200 PECOS PAC ID: 8022382464 Enrollment ID: I20200701000961 |
| Provider Name | Tamaki Anne Harrold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841629722 PECOS PAC ID: 3678797479 Enrollment ID: I20201216001779 |
| Provider Name | Agnes Mauryn Jepkogei Kiptum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447893797 PECOS PAC ID: 4587073895 Enrollment ID: I20210517001151 |
| Provider Name | Samantha Gehring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386205888 PECOS PAC ID: 1254725351 Enrollment ID: I20220307002272 |
| Provider Name | Gail R Logue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013367507 PECOS PAC ID: 0840685699 Enrollment ID: I20220315001553 |
| Provider Name | Amy Kassirer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922062751 PECOS PAC ID: 8325052772 Enrollment ID: I20220418000201 |
| Provider Name | Melissa H Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154592814 PECOS PAC ID: 5193112381 Enrollment ID: I20220418000712 |
| Provider Name | Tonia Bershinsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982192936 PECOS PAC ID: 3274883889 Enrollment ID: I20220504000916 |
| Provider Name | Veronica Koestler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922553890 PECOS PAC ID: 2466740436 Enrollment ID: I20220901002074 |
| Provider Name | Michelle Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417459108 PECOS PAC ID: 0749543791 Enrollment ID: I20230620000645 |
| Provider Name | Stephen Carleton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508646373 PECOS PAC ID: 1254780919 Enrollment ID: I20231207001357 |
| Provider Name | Caleb Alexander Josephs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043848948 PECOS PAC ID: 2466874391 Enrollment ID: I20231207002490 |
| Provider Name | Nathan Jipson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093463234 PECOS PAC ID: 0749630366 Enrollment ID: I20231222001113 |
| Provider Name | Mary Helen Ganir |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750152286 PECOS PAC ID: 4789027616 Enrollment ID: I20240208000288 |
| Provider Name | Allison Jean Ahern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205699485 PECOS PAC ID: 6507204104 Enrollment ID: I20240402001436 |
| Provider Name | Jenna Blais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619733185 PECOS PAC ID: 6406296326 Enrollment ID: I20240425002475 |
Children's Hospital Colorado Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1214 Oak Park Dr, Fort Collins, CO 80525 Phone: 970-267-9510 | |
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Woodward Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3702 Automation Way, Suite 103, Fort Collins, CO 80525 Phone: 970-495-6201 | |
Starlight Health, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 313 W Drake Rd, Fort Collins, CO 80526 Phone: 970-632-0135 | |
Jan Hester Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 E Elizabeth #g1, Fort Collins, CO 80524 Phone: 970-493-2776 Fax: 970-493-2772 | |
Lifestyle Medicine At Miramont, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2211 S College Ave, Unit 300, Fort Collins, CO 80525 Phone: 970-237-6339 Fax: 970-482-2091 | |
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