| Heather Damon, PA | |
|
822 W 4th St, Leadville, CO 80461-3861 | |
| (719) 486-0230 | |
| Not Available |
| Full Name | Heather Damon |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 822 W 4th St, Leadville, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285609867 | NPI | - | NPPES |
| 40932061 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 2250 (Colorado) | Primary |
| Entity Name | Lutheran Hospital Association of the San Luis Valley |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235181744 PECOS PAC ID: 4789589094 Enrollment ID: O20031201000318 |
| Entity Name | Salida Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972778272 PECOS PAC ID: 3577451152 Enrollment ID: O20040413000292 |
| Entity Name | Salida Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1730258971 PECOS PAC ID: 3577451152 Enrollment ID: O20081209000720 |
| Entity Name | Innova Emergency Medical Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295178978 PECOS PAC ID: 2860633435 Enrollment ID: O20130724000195 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Damon, PA 266 Alpine Dr, Leadville, CO 80461-2021 Ph: (970) 485-9366 | Heather Damon, PA 822 W 4th St, Leadville, CO 80461-3861 Ph: (719) 486-0230 |
Jennifer Pence, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 735 Us Highway 24, Leadville, CO 80461 Phone: 719-486-0500 Fax: 719-486-3966 |
Tyler J Norton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 735 Us Highway 24, Leadville, CO 80461 Phone: 719-486-0500 Fax: 719-486-3966 |
Amy Marie King, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 735 Us Highway 24, Leadville, CO 80461 Phone: 719-239-1806 |
Taryn Barrette, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 825 W 6th St, Leadville, CO 80461 Phone: 719-486-1264 Fax: 719-486-1286 |
Mr. John M Jennings, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 822 W 4th St, Leadville, CO 80461 Phone: 719-486-0230 |
Sarah R Cohn, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 223 Harrison Ave, Leadville, CO 80461 Phone: 719-293-7199 Fax: 855-861-6548 |