| Bear Creek Mental Health Llc | |
|
4911 Plettner Ln Ste 210 Evergreen CO 80439 | |
| (303) 520-7300 | |
| Not Available |
| Full Name | Bear Creek Mental Health Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4911 Plettner Ln, Evergreen, Colorado |
| Authorized Official Name and Position | Donna Kautzman (DR.) |
| Authorized Official Contact | 3035207300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bear Creek Mental Health Llc 32983 Snowshoe Rd Evergreen CO 80439 Ph: (303) 520-7300 | Bear Creek Mental Health Llc 4911 Plettner Ln Ste 210 Evergreen CO 80439 Ph: (303) 520-7300 |
| NPI Number | 1831640291 |
|---|---|
| Provider Enumeration Date | 10/20/2016 |
| Last Update Date | 10/20/2016 |
| Medicare PECOS PAC ID | 9931488426 |
|---|---|
| Medicare Enrollment ID | O20161128002668 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831640291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 8135 (Colorado) | Primary |
| Provider Name | Donna Charlene Kautzman |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1083829543 PECOS PAC ID: 0840579330 Enrollment ID: I20161128002716 |
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