| Diana J Heinz, NURSE PRACTITIONER | |
|
1650 Cochrane Cir, Fort Carson, CO 80913-4613 | |
| (719) 526-7268 | |
| (719) 526-7891 |
| Full Name | Diana J Heinz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 18 Years |
| Location | 1650 Cochrane Cir, Fort Carson, Colorado |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558534123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 124663 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Care Center Llc | 5991064420 | 417 |
| Entity Name | Regents Of The University Of Colorado |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801226048 PECOS PAC ID: 7012810716 Enrollment ID: O20140717001895 |
| Entity Name | Family Care Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790141984 PECOS PAC ID: 5991064420 Enrollment ID: O20180109000960 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana J Heinz, NURSE PRACTITIONER 4863 N Nevada Ave, Colorado Springs, CO 80918-3951 Ph: (719) 526-7268 | Diana J Heinz, NURSE PRACTITIONER 1650 Cochrane Cir, Fort Carson, CO 80913-4613 Ph: (719) 526-7268 |
Mrs. Gwen M Colon, LPN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir, Attn Credentials Office Evans Army Community Hospital, Fort Carson, CO 80913 Phone: 719-526-7844 Fax: 719-526-7984 | |
Claudia Martial, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 719-526-7000 | |
Mrs. Tisha Kim Ellis, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 719-526-0175 Fax: 719-526-2452 | |
Gina Clark, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 719-524-0016 | |
Anna M Jones, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1650 Cochrane Cir Unit Meddac, Fort Carson, CO 80913 Phone: 719-524-0691 | |
Dr. Lisa Marie Gray, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 719-526-7061 Fax: 719-526-7132 | |
Dae K Han, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1650 Cochrane Cir, Fort Carson, CO 80913 Phone: 719-526-3668 Fax: 719-524-2258 |