| Petr Vitkovskiy, MD | |
|
750 W Hampden Ave Ste 350, Englewood, CO 80110-2233 | |
| (303) 872-1734 | |
| Not Available |
| Full Name | Petr Vitkovskiy |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 750 W Hampden Ave Ste 350, Englewood, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467077875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0072917 (Colorado) | Primary |
| Entity Name | Family Care Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790141984 PECOS PAC ID: 5991064420 Enrollment ID: O20180109000960 |
| Mailing Address | Practice Location Address |
|---|---|
| Petr Vitkovskiy, MD 750 W Hampden Ave Ste 350, Englewood, CO 80110-2233 Ph: () - | Petr Vitkovskiy, MD 750 W Hampden Ave Ste 350, Englewood, CO 80110-2233 Ph: (303) 872-1734 |
Dr. Valerie Sophia Chaloka, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 499 E Hampden Ave Ste 360, Englewood, CO 80113 Phone: 303-762-3450 Fax: 303-761-0553 | |
Dr. Stephen Michael Allen, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3601 S Clarkson St, Suite 540, Englewood, CO 80113 Phone: 303-741-0239 | |
Grace Wong, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6500 S Quebec St, Suite 300, Englewood, CO 80111 Phone: 303-320-5503 Fax: 303-220-9134 | |
Dr. Jeffrey C Wagner, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 499 E Hampden Ave, Suite 360, Englewood, CO 80113 Phone: 303-781-4485 Fax: 303-788-7666 | |
Khoi Duy Pham, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 501 E Hampden Ave, Englewood, CO 80113 Phone: 303-788-6911 Fax: 303-306-7753 | |
Oliver J Jeffery, MBCHB Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 499 E Hampden Ave Ste 360, Englewood, CO 80113 Phone: 303-781-4485 Fax: 720-274-0064 | |
Michael Makley, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3425 S Clarkson St, Englewood, CO 80113 Phone: 303-789-8220 Fax: 303-789-8470 |