Erika Vicente, MD | |
3260 E 104th Ave, Thornton, CO 80233-4406 | |
(720) 929-8300 | |
Not Available |
Full Name | Erika Vicente |
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Gender | Female |
Speciality | Pediatrics |
Location | 3260 E 104th Ave, Thornton, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174027791 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | DR.0066299 (Colorado) | Primary |
Entity Name | New West Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427010859 PECOS PAC ID: 9537054614 Enrollment ID: O20040218000087 |
Entity Name | Optumcare Colorado Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407252828 PECOS PAC ID: 2769706431 Enrollment ID: O20150129000413 |
Mailing Address | Practice Location Address |
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Erika Vicente, MD 1707 Cole Blvd Ste 100, Golden, CO 80401-3219 Ph: (303) 763-4900 | Erika Vicente, MD 3260 E 104th Ave, Thornton, CO 80233-4406 Ph: (720) 929-8300 |
Jennifer Anne Burns, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9197 Grant St, Suite 100, Thornton, CO 80229 Phone: 303-869-2173 Fax: 303-962-1515 | |
Lawrence I Wolk, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9197 Grant St, Suite 100, Thornton, CO 80229 Phone: 303-869-2173 | |
Donna Nikanjam, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9197 Grant St, Thornton, CO 80229 Phone: 303-450-3690 | |
Shawna Marie Daake, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9197 Grant St, Suite 200, Thornton, CO 80229 Phone: 303-450-3690 | |
Stephanie Kramer, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 9197 Grant St Ste 200, Thornton, CO 80229 Phone: 303-450-3690 | |
Dr. Joe L Williams, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3260 E 104th Ave, Thornton, CO 80233 Phone: 720-929-8300 Fax: 720-929-8444 |