| Redwood Medical Llc | |
|
1001 S Perry St Ste 104b Castle Rock CO 80104-1950 | |
| (720) 485-3178 | |
| Not Available |
| Full Name | Redwood Medical Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1001 S Perry St Ste 104b, Castle Rock, Colorado |
| Authorized Official Name and Position | Brent Herron (OWNER) |
| Authorized Official Contact | 3032490908 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Redwood Medical Llc 1001 S Perry St Ste 104b Castle Rock CO 80104-1950 Ph: (720) 485-3178 | Redwood Medical Llc 1001 S Perry St Ste 104b Castle Rock CO 80104-1950 Ph: (720) 485-3178 |
| NPI Number | 1861256091 |
|---|---|
| Provider Enumeration Date | 02/08/2024 |
| Last Update Date | 08/01/2025 |
| Certification Date | 08/01/2025 |
| Medicare PECOS PAC ID | 0547620593 |
|---|---|
| Medicare Enrollment ID | O20230721001988 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861256091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rachel L Stolley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124017967 PECOS PAC ID: 8820391998 Enrollment ID: I20191031003049 |
| Provider Name | Meredith Jameson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801546338 PECOS PAC ID: 9537546510 Enrollment ID: I20220512001028 |
| Provider Name | Kathleen Marie Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235855032 PECOS PAC ID: 2769853514 Enrollment ID: I20230113002196 |
| Provider Name | Brent Herron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437544558 PECOS PAC ID: 4688982788 Enrollment ID: I20230721002483 |
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