| Dmitriy I Pales, DO | |
|
13111 E Briarwood Ave Ste 370, Centennial, CO 80112-3913 | |
| (720) 441-4410 | |
| Not Available |
| Full Name | Dmitriy I Pales |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 25 Years |
| Location | 13111 E Briarwood Ave Ste 370, Centennial, Colorado |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548282700 | NPI | - | NPPES |
| 1548282700 | Medicaid | WY | |
| 4525551 | Medicaid | MI | |
| 200000002506 | Other | MI | PHP |
| P00054355 | Other | MI | RAILROAD MEDICARE |
| 22350314 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | DP014651 (Michigan) | Secondary |
| 207R00000X | Internal Medicine | 46797 (Colorado) | Secondary |
| 208M00000X | Hospitalist | DR.0046797 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parker Adventist Hospital | Parker, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Portercare Adventist Health System | 0941110886 | 682 |
| South Denver Physicians, Pllc | 4183852684 | 2 |
| Zmily Health Group Inc | 8022396969 | 3 |
| Entity Name | Catholic Health Initiatives Colorado |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
| Entity Name | Portercare Adventist Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760761928 PECOS PAC ID: 0941110886 Enrollment ID: O20090115000327 |
| Entity Name | South Denver Physicians, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124463161 PECOS PAC ID: 4183852684 Enrollment ID: O20140108000201 |
| Entity Name | Zmily Health Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689050841 PECOS PAC ID: 8022396969 Enrollment ID: O20161104000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Dmitriy I Pales, DO 9395 Crown Crest Blvd, Parker, CO 80138-8573 Ph: (303) 643-0124 | Dmitriy I Pales, DO 13111 E Briarwood Ave Ste 370, Centennial, CO 80112-3913 Ph: (720) 441-4410 |