| Richard W Jolly, OD | |
|
799 E Hampden Ave, Suite 300, Englewood, CO 80113-2700 | |
| (303) 493-5200 | |
| (720) 570-2012 |
| Full Name | Richard W Jolly |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 799 E Hampden Ave, 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 |
|---|---|---|---|
| 1194732040 | NPI | - | NPPES |
| 01248517 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24851 (Colorado) | Primary |
| Entity Name | Rocky Mountain Urgent Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396706693 PECOS PAC ID: 9931002276 Enrollment ID: O20040202000602 |
| Entity Name | Potomac Square Family Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740235548 PECOS PAC ID: 1557333465 Enrollment ID: O20040811000490 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard W Jolly, OD Po Box 60, Englewood, CO 80151 Ph: (303) 493-5200 | Richard W Jolly, OD 799 E Hampden Ave, Suite 300, Englewood, CO 80113-2700 Ph: (303) 493-5200 |
Dr. Daniel Lawrence Hubbard, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 221 E Hampden Ave, Englewood, CO 80113 Phone: 303-789-2251 Fax: 303-789-2505 | |
Kenyon Joseph Weidle, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 E Hampden Ave Ste 470, Englewood, CO 80113 Phone: 303-788-3100 Fax: 303-788-3196 | |
Dr. Susan Papner, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 E Hampden Ave, Suite 350, Englewood, CO 80113 Phone: 303-788-6490 Fax: 303-788-5451 | |
Dr. Bipin Kumar, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3515 S Delaware St, Englewood, CO 80110 Phone: 303-788-0782 Fax: 303-762-1583 | |
Dr. Ruth Lorene Overlease, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2955 S Broadway, Englewood, CO 80113 Phone: 303-338-4545 | |
Daniel E Urcuyo Llanes, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 180 E Hampden Ave Ste 100, Englewood, CO 80113 Phone: 303-789-6018 | |
Hugh Holleman Macaulay Iii, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3333 S Bannock St, Suite 810, Englewood, CO 80110 Phone: 720-282-9777 Fax: 303-722-0613 |