Dr Jill D Pollock, PSYD | |
1115 N Grand Ave, Ste 100, Pueblo, CO 81003 | |
(719) 562-4414 | |
(719) 562-4415 |
Full Name | Dr Jill D Pollock |
---|---|
Gender | Female |
Speciality | Psychologist |
Location | 1115 N Grand Ave, Pueblo, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376614784 | NPI | - | NPPES |
035311 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 2010 (Colorado) | Primary |
Entity Name | Pueblo Community Health Center Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770529950 PECOS PAC ID: 4284543802 Enrollment ID: O20031104000171 |
Mailing Address | Practice Location Address |
---|---|
Dr Jill D Pollock, PSYD 1115 N Grand Ave, Ste 100, Pueblo, CO 81003 Ph: (719) 562-4414 | Dr Jill D Pollock, PSYD 1115 N Grand Ave, Ste 100, Pueblo, CO 81003 Ph: (719) 562-4414 |
Dr. Salvador Cruz, MD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 128 S-union, Suite C, Pueblo, CO 81003 Phone: 719-543-6988 Fax: 719-542-1290 | |
Dr. Douglas Jones, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 720 N Main St Ste 240, Pueblo, CO 81003 Phone: 719-994-7643 Fax: 719-960-2989 | |
Raymond M. Quinones, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4910 | |
Charles R. Bennett, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4838 | |
Dr. Richard Blair Madsen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 417 W 13th St, Pueblo, CO 81003 Phone: 719-544-0877 Fax: 719-544-2033 | |
Peggy A. Hicks, ED.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4552 | |
Tess Scogan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 W 24th St, Pueblo, CO 81003 Phone: 719-546-4805 |