Summit Medical Clinic, Pc - Medicare Primary Care in Colorado Springs, CO

Summit Medical Clinic, Pc is a medicare enrolled primary clinic (Internal Medicine) in Colorado Springs, Colorado. The current practice location for Summit Medical Clinic, Pc is 1380 E Fillmore St, 100, Colorado Springs, Colorado. For appointments, you can reach them via phone at (719) 630-1006. The mailing address for Summit Medical Clinic, Pc is 1380 E Fillmore St, 100, Colorado Springs, Colorado and phone number is (719) 630-1006.

Summit Medical Clinic, Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1992709653. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (719) 630-1006.

Contact Information

Summit Medical Clinic, Pc
1380 E Fillmore St
100
Colorado Springs
CO 80907-6460
(719) 630-1006
(719) 630-0688

Map and Direction


Primary Care Clinic Profile

Full NameSummit Medical Clinic, Pc
SpecialityInternal Medicine
Location1380 E Fillmore St, Colorado Springs, Colorado
Authorized Official Name and PositionPratheep Arora (PRESIDENT)
Authorized Official Contact7196301006
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Summit Medical Clinic, Pc
1380 E Fillmore St
100
Colorado Springs
CO 80907-6460

Ph: (719) 630-1006
Summit Medical Clinic, Pc
1380 E Fillmore St
100
Colorado Springs
CO 80907-6460

Ph: (719) 630-1006

NPI Details:

NPI Number1992709653
Provider Enumeration Date06/10/2005
Last Update Date05/04/2023

Medicare PECOS Information:

Medicare PECOS PAC ID1355331661
Medicare Enrollment IDO20040517001230

Medical Identifiers

Medical identifiers for Summit Medical Clinic, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992709653NPI-NPPES
CM 5708OtherCOMEDICARE #
82327076MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 0000 (Colorado)Secondary
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Summit Medical Clinic, Pc acts as a billing entity for following providers:
Provider NamePratheep Arora
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467475616
PECOS PAC ID: 2668472747
Enrollment ID: I20070115000227
Provider NameBorghild D Kalford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669642971
PECOS PAC ID: 4486836111
Enrollment ID: I20110316000741
Provider NameJessi Lynn Lamb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013421890
PECOS PAC ID: 5092074278
Enrollment ID: I20180116000575
Provider NameKeshea C Desmornes Rouse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467019364
PECOS PAC ID: 3971837238
Enrollment ID: I20190620002423
Provider NameNeida L. Blondet
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669014593
PECOS PAC ID: 8921432147
Enrollment ID: I20191221000622
Provider NameDaniel O'shea
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497085989
PECOS PAC ID: 1850711953
Enrollment ID: I20201012000495
Provider NameLarisa A. Sychova
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992147169
PECOS PAC ID: 5698902286
Enrollment ID: I20201110001713
Provider NameTracey Putz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114518693
PECOS PAC ID: 4284946278
Enrollment ID: I20210622000058
Provider NameTarah Thevenot
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275146524
PECOS PAC ID: 4688087414
Enrollment ID: I20220317001928
Provider NameMary G Levy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245914001
PECOS PAC ID: 2961598230
Enrollment ID: I20230809000070

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.