Renue U Medspa Pc is a medicare enrolled "Nurse Practitioner - Family" provider in Colorado Springs, Colorado. Their current practice location is
5390 N Academy Blvd Ste 150, Colorado Springs, Colorado. You can reach out to their office (for appointments etc.) via phone at
(303) 741-0990.
Renue U Medspa Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Renue U Medspa Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1811658289.
Healthcare Provider's Profile
| Full Name | Renue U Medspa Pc |
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| Type | Facility |
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| Speciality | Nurse Practitioner - Family |
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| Location | 5390 N Academy Blvd Ste 150, Colorado Springs, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1811658289
- Provider Enumeration Date: 01/06/2022
- Last Update Date: 02/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 2769878313
- Enrollment ID: O20220406003120
Medical Identifiers
Medical identifiers for Renue U Medspa Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811658289 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207K00000X | Allergy & Immunology | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (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.
Renue U Medspa Pc acts as a billing entity for following providers:
| Provider Name | Christopher Coram |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1134726391
PECOS PAC ID: 5496166928
Enrollment ID: I20201204000747 |
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| Provider Name | Anthony Boudreau |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1558075432
PECOS PAC ID: 3476918335
Enrollment ID: I20230427001809 |
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| Provider Name | Jill Clarris Henry |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1942081989
PECOS PAC ID: 1951749571
Enrollment ID: I20240402002324 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Renue U Medspa Pc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Renue U Medspa Pc
6825 S Galena St Ste 200,
Centennial, CO 80112-3630
Ph: (720) 741-0990 | Renue U Medspa Pc
5390 N Academy Blvd Ste 150,
Colorado Springs, CO 80918-4064
Ph: (303) 741-0990 |
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