| St Lukes Medical Clinic Llc | |
|
1101 Oakridge Dr Suite B Fort Collins CO 80525-5591 | |
| (970) 223-1199 | |
| (970) 223-9566 |
| Full Name | St Lukes Medical Clinic Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1101 Oakridge Dr, Fort Collins, Colorado |
| Authorized Official Name and Position | Michael J Lynch (OWNER) |
| Authorized Official Contact | 9702231199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Lukes Medical Clinic Llc 1101 Oakridge Dr Suite B Fort Collins CO 80525-5591 Ph: (970) 223-1199 | St Lukes Medical Clinic Llc 1101 Oakridge Dr Suite B Fort Collins CO 80525-5591 Ph: (970) 223-1199 |
| NPI Number | 1407953581 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 03/24/2008 |
| Medicare PECOS PAC ID | 5698773737 |
|---|---|
| Medicare Enrollment ID | O20061128000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407953581 | NPI | - | NPPES |
| 07009216 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 24854 (Colorado) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 57743 (Colorado) | Secondary |
| Provider Name | Michael V Carey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760536064 PECOS PAC ID: 8729097134 Enrollment ID: I20060412000750 |
| Provider Name | Patricia T Lipinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326145491 PECOS PAC ID: 3870593627 Enrollment ID: I20070220000434 |
| Provider Name | Zachary J Engelbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740508365 PECOS PAC ID: 7315190485 Enrollment ID: I20150202001857 |
| Provider Name | Holly Ann Preston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710474069 PECOS PAC ID: 7214291897 Enrollment ID: I20180507002550 |
| Provider Name | Nicholas J Boeder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851786446 PECOS PAC ID: 7911287230 Enrollment ID: I20190703000430 |
| Provider Name | Crystal Chick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285285395 PECOS PAC ID: 6406284918 Enrollment ID: I20200422003359 |
| Provider Name | Colten M Bray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710585500 PECOS PAC ID: 3870903461 Enrollment ID: I20201111000064 |
| Provider Name | Carl Everett White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699385773 PECOS PAC ID: 4688086101 Enrollment ID: I20201207002085 |
| Provider Name | Amy Kreykes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992069124 PECOS PAC ID: 4486954245 Enrollment ID: I20221007002669 |
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 | |
Alpenglow Medical Prof. Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1006 Robertson St, Fort Collins, CO 80524 Phone: 970-482-3820 Fax: 970-482-4942 | |
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 | |
J. David Cranor Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2105 Bighorn Dr., #102, Fort Collins, CO 80525 Phone: 970-226-6000 Fax: 970-226-6007 |