| Mr Paul Joseph Hongo, | |
|
3700 Tennyson St, # 12375, Denver, CO 80212-4415 | |
| (720) 305-6689 | |
| (720) 358-5897 |
| Full Name | Mr Paul Joseph Hongo |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 3700 Tennyson St, Denver, 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 |
|---|---|---|---|
| 1598004954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 6633 (Colorado) | Primary |
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Colorado Provider Network Llc | 7315356474 | 5 |
| Entity Name | Colorado Provider Network LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649851155 PECOS PAC ID: 7315356474 Enrollment ID: O20210503001121 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Paul Joseph Hongo, 3700 Tennyson St Unit 12375, Denver, CO 80212-4415 Ph: (720) 305-6689 | Mr Paul Joseph Hongo, 3700 Tennyson St, # 12375, Denver, CO 80212-4415 Ph: (720) 305-6689 |
Lauren Elizabeth Hillary, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10350 E Dakota Ave, Denver, CO 80247 Phone: 303-338-4545 |
Andrea Bishop Navarre, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 777 Bannock St # Mc3240, Denver, CO 80204 Phone: 303-436-6000 |
Gillian Feeley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1700 N Marion St, Denver, CO 80218 Phone: 303-860-7770 |
Kirsten Eriksen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 777 Bannock St, Denver, CO 80204 Phone: 303-436-6000 |
Thia A Gonzales, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 777 Bannock St, Mc 7782, Denver, CO 80204 Phone: 303-436-6000 |
Molly E Gilpin, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4500 E 9th Ave, Suite 740, Denver, CO 80220 Phone: 720-941-1778 |
Susan Thielen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 University Blvd, Suite 210, Denver, CO 80206 Phone: 303-333-3388 Fax: 303-333-5094 |