| Elan Sleep Llc | |
|
1630 Dry Creek Drive Suite 200 Longmont CO 80503-6405 | |
| (720) 279-9098 | |
| (303) 248-3589 |
| Full Name | Elan Sleep Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1630 Dry Creek Drive, Longmont, Colorado |
| Authorized Official Name and Position | Adam T Wertz (PRESIDENT) |
| Authorized Official Contact | 7209386918 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elan Sleep Llc 1630 Dry Creek Drive Suite 200 Longmont CO 80503-6405 Ph: (720) 279-9098 | Elan Sleep Llc 1630 Dry Creek Drive Suite 200 Longmont CO 80503-6405 Ph: (720) 279-9098 |
| NPI Number | 1982958435 |
|---|---|
| Provider Enumeration Date | 11/06/2012 |
| Last Update Date | 10/24/2024 |
| Medicare PECOS PAC ID | 8426587742 |
|---|---|
| Medicare Enrollment ID | O20250130002677 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982958435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | (* (Not Available)) | Primary |
| Provider Name | Laura Medina |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033357942 PECOS PAC ID: 8921136516 Enrollment ID: I20100430000556 |
| Provider Name | David Mccarty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831193630 PECOS PAC ID: 8022116151 Enrollment ID: I20150225000422 |
| Provider Name | Anthony S Barber |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1376747444 PECOS PAC ID: 6406012962 Enrollment ID: I20151008000677 |
| Provider Name | Ivy M Andersen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013064997 PECOS PAC ID: 8527155050 Enrollment ID: I20160505000234 |
| Provider Name | Eduardo Onate |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699036681 PECOS PAC ID: 5294034815 Enrollment ID: I20190809001085 |
| Provider Name | Ari Philip Walter |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1922669431 PECOS PAC ID: 6800126400 Enrollment ID: I20241105000391 |
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