| Sallie Brooks Clark, MD | |
|
1421 S Potomac St Ste 220, Aurora, CO 80012 | |
| (303) 337-5600 | |
| (303) 337-7734 |
| Full Name | Sallie Brooks Clark |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 1421 S Potomac St Ste 220, Aurora, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780681999 | NPI | - | NPPES |
| 01295641 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 29564 (Colorado) | Primary |
| Entity Name | Surgical Consultants Of Aurora Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528128022 PECOS PAC ID: 6002706058 Enrollment ID: O20040316000298 |
| Entity Name | Colorado Surgical And Critical Care Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295846426 PECOS PAC ID: 7810978095 Enrollment ID: O20040525000664 |
| Mailing Address | Practice Location Address |
|---|---|
| Sallie Brooks Clark, MD 1421 S Potomac St Ste 220, Aurora, CO 80012-4512 Ph: (303) 337-5600 | Sallie Brooks Clark, MD 1421 S Potomac St Ste 220, Aurora, CO 80012 Ph: (303) 337-5600 |
Kevin Bradley Rothchild, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 303-724-2728 Fax: 303-724-2761 | |
Dr. Juan Pablo Idrovo, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 303-724-8366 | |
Madhuri Nagaraj, MD, MS Surgery Medicare: Medicare Enrolled Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000 | |
Gregory Stiegmann, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000 | |
Dr. Michael Kennth Dalton, MD, MPH Surgery Medicare: Medicare Enrolled Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000 | |
Nathan W. Pearlman, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 303-724-2728 Fax: 303-724-2733 | |
Mr. Julian Simon Winocour, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1635 Aurora Ct, Aurora, CO 80045 Phone: 720-848-0000 |