| Dr Kimberly B Pengel, MD | |
|
10107 Ridgegate Pkwy Ste 310, Lone Tree, CO 80124-5642 | |
| (720) 861-0840 | |
| (303) 861-4741 |
| Full Name | Dr Kimberly B Pengel |
|---|---|
| Gender | Female |
| Speciality | Orthopaedic Surgery |
| Location | 10107 Ridgegate Pkwy Ste 310, Lone Tree, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871680926 | NPI | - | NPPES |
| 70680892 | Medicaid | CO | |
| 1871680926 | Medicaid | NE | |
| 1871680926 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 38251 (Colorado) | Primary |
| Entity Name | Healthone Clinic Services - Pediatric Specialties Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720293251 PECOS PAC ID: 2365535572 Enrollment ID: O20070904000695 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kimberly B Pengel, MD 10107 Ridgegate Pkwy Ste 310, Lone Tree, CO 80124-5642 Ph: (303) 861-2663 | Dr Kimberly B Pengel, MD 10107 Ridgegate Pkwy Ste 310, Lone Tree, CO 80124-5642 Ph: (720) 861-0840 |
John R Barker, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 10103 Ridgegate Pkwy, Lone Tree, CO 80124 Phone: 303-225-8120 Fax: 303-225-8130 | |
Dr. Leonard Wade Faulk, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 10240 Park Meadows Dr, Lone Tree, CO 80124 Phone: 303-338-4545 | |
Dr. Edward S Szuszczewicz, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 10099 Ridge Gate Pkwy, Suite 310, Lone Tree, CO 80124 Phone: 303-790-1800 Fax: 719-368-6870 | |
Dr. Cale W Bonds, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 10240 Park Meadows Dr, Lone Tree, CO 80124 Phone: 303-338-4545 | |
Dr. Paul V Hautamaa, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 10240 Park Meadows Dr, Lone Tree, CO 80124 Phone: 303-338-4545 | |
Mark S Fitzgerald, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 9777 S Yosemite St, Suite 220, Lone Tree, CO 80124 Phone: 303-699-7325 Fax: 303-699-5486 | |
Eric R Jamrich, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 10103 Ridgegate Pkwy, Lone Tree, CO 80124 Phone: 303-225-8120 Fax: 303-225-8130 |