| Steven Ponicsan Jr, PA-C | |
|
2930 11th Ave, Evans, CO 80620-1011 | |
| (970) 350-4606 | |
| (970) 350-4645 |
| Full Name | Steven Ponicsan Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2930 11th Ave, Evans, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699149120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | Uhs of Denver Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326133216 PECOS PAC ID: 0941200240 Enrollment ID: O20071231000314 |
| Entity Name | Uhs of Centennial Peaks LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760623888 PECOS PAC ID: 6204987621 Enrollment ID: O20100406000411 |
| Entity Name | Denver Springs Physician Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144742016 PECOS PAC ID: 5991061228 Enrollment ID: O20171102000799 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Ponicsan Jr, PA-C 2930 11th Ave, Evans, CO 80620-1011 Ph: (970) 350-4606 | Steven Ponicsan Jr, PA-C 2930 11th Ave, Evans, CO 80620-1011 Ph: (970) 350-4606 |
Felicia Marie Doherty, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2930 11th Ave, Evans, CO 80620 Phone: 970-353-9403 Fax: 970-350-4692 |
Hannah Elizabeth Sellnow, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2930 11th Ave, Evans, CO 80620 Phone: 720-353-9403 Fax: 970-353-4645 |
Ms. Hannah Olson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2930 11th Ave, Evans, CO 80620 Phone: 970-353-9403 Fax: 970-353-5884 |
David James Sosa, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2930 11th Ave, Evans, CO 80620 Phone: 324-340-7246 Fax: 970-353-5884 |
Brittany Elizabeth Driscoll, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2930 11th Ave, Evans, CO 80620 Phone: 970-353-9403 Fax: 970-350-4645 |
Sandra Gayle Hoyman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2930 11th Ave, Evans, CO 80620 Phone: 970-353-9403 Fax: 970-353-9906 |
Jesse Hines, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2930 11th Ave, Evans, CO 80620 Phone: 970-353-9403 Fax: 970-353-5884 |