| Janna K Gelderman-moffett, DO | |
|
100 Health Park Dr, Louisville, CO 80027-9583 | |
| (303) 673-1000 | |
| Not Available |
| Full Name | Janna K Gelderman-moffett |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 100 Health Park Dr, Louisville, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992879241 | NPI | - | NPPES |
| 2194110 | Medicaid | OH | |
| 3810014817 | Medicaid | WV | |
| 90800079 | Medicaid | CO | |
| 114955900 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5101017103 (Michigan) | Secondary |
| 207R00000X | Internal Medicine | 34007312 (Ohio) | Secondary |
| 208M00000X | Hospitalist | 55567 (Colorado) | Primary |
| Entity Name | Inpatient Services, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710999768 PECOS PAC ID: 5496651267 Enrollment ID: O20031211000419 |
| 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 | Valley View Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437271285 PECOS PAC ID: 1850294778 Enrollment ID: O20040129000027 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Janna K Gelderman-moffett, DO 100 Health Park Dr, Louisville, CO 80027-9583 Ph: (303) 673-1000 | Janna K Gelderman-moffett, DO 100 Health Park Dr, Louisville, CO 80027-9583 Ph: (303) 673-1000 |
Jennifer Blair, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 100 Health Park Dr, Louisville, CO 80027 Phone: 303-673-1000 Fax: 303-673-7204 |