| Dr Katherine Elise Pemberton, MD | |
| 280 Exempla Cir, Lafayette, CO 80026-3370 | |
| (303) 338-4545 | |
| Not Available | 
| Full Name | Dr Katherine Elise Pemberton | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 280 Exempla Cir, Lafayette, Colorado | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1992382527 | NPI | - | NPPES | 
| 9000194077 | Medicaid | CO | |
| 029597 | Other | CO | KAISER COMMERCIAL NUMBER | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | DR.0073380 (Colorado) | Primary | 
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary | 
| Entity Name | Colorado Permanente Medical Group Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Katherine Elise Pemberton, MD 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: () - | Dr Katherine Elise Pemberton, MD 280 Exempla Cir, Lafayette, CO 80026-3370 Ph: (303) 338-4545 | 
| Tamara L Kusek, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545 Fax: 720-536-7555 | |
| Adrienne B Cox,  Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Exempla Cir, Neonatology Office, Lafayette, CO 80026 Phone: 303-338-4545 | |
| Carol Deborah Siegel Friefeld, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1735 S Public Rd Ste 100, Lafayette, CO 80026 Phone: 303-665-3036 | |
| Dr. Cynthia J Cirolla, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545 | |
| Dr. Sarah C Morse, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545 | |
| Dr. Nolan M Lassiter Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545 | |
| Robin K Kitlowski, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Exempla Cir, Emergency Room, Lafayette, CO 80026 Phone: 303-689-4444 Fax: 303-689-4669 |