| Mr Michael A Kiley, PA | |
|
90 Health Park Dr Ste 350, Louisville, CO 80027-9742 | |
| (303) 925-5068 | |
| (303) 925-5069 |
| Full Name | Mr Michael A Kiley |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 90 Health Park Dr Ste 350, Louisville, Colorado |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144297136 | NPI | - | NPPES |
| 77971353 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA.0001403 (Colorado) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA.0001403 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Avista | Louisville, CO | Hospital |
| Foothills Hospital | Boulder, CO | Hospital |
| Longmont United Hospital | Longmont, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Portercare Adventist Health System | 0941110886 | 770 |
| Boulder Community Health | 6800707233 | 260 |
| Entity Name | Boulder Emergency Physicians P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659354637 PECOS PAC ID: 4385556414 Enrollment ID: O20031105000543 |
| Entity Name | Boulder Community Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821074196 PECOS PAC ID: 6800707233 Enrollment ID: O20040123000284 |
| Entity Name | Portercare Adventist Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760761928 PECOS PAC ID: 0941110886 Enrollment ID: O20090115000327 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael A Kiley, PA 90 Health Park Dr Ste 350, Louisville, CO 80027-9742 Ph: (303) 925-5068 | Mr Michael A Kiley, PA 90 Health Park Dr Ste 350, Louisville, CO 80027-9742 Ph: (303) 925-5068 |
Elizabeth Crow Akasaka, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 762 W Hemlock Cir, Louisville, CO 80027 Phone: 214-577-2338 |
Eileen E Neale, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 90 Health Park Dr Ste 290, Louisville, CO 80027 Phone: 303-439-8910 |
Kurt Douglas Noteboom, PA-C, ATC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 80 Health Park Dr, #230, Louisville, CO 80027 Phone: 303-665-2603 Fax: 303-665-2605 |
Mrs. Marilyn Ann Gandolph, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 325 W S Boulder Rd Ste 101, Louisville, CO 80027 Phone: 720-519-1596 Fax: 720-542-9408 |
Faun Ellwood-digel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 275 W Walnut St, Louisville, CO 80027 Phone: 303-604-6319 |
Mary A Jannik, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 950 Spruce St Ste 1h, Louisville, CO 80027 Phone: 720-598-1189 Fax: 720-540-4250 |
Shaylin S Gandhi, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1335 E South Boulder Rd Ste C, Louisville, CO 80027 Phone: 720-961-9700 |