| Tasha Marie Koedam, NP | |
|
10259 South Parker Road, Parker, CO 80134 | |
| (303) 805-2273 | |
| Not Available |
| Full Name | Tasha Marie Koedam |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 10259 South Parker Road, Parker, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376977314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APN.0990832-NP (Colorado) | Primary |
| Entity Name | Chrmeg Med Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629199062 PECOS PAC ID: 1951343557 Enrollment ID: O20050524000938 |
| Mailing Address | Practice Location Address |
|---|---|
| Tasha Marie Koedam, NP 3722 South Malta Street, Aurora, CO 80013 Ph: () - | Tasha Marie Koedam, NP 10259 South Parker Road, Parker, CO 80134 Ph: (303) 805-2273 |
Rebekah Lynn Petkoff, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12959 S Parker Rd, Parker, CO 80134 Phone: 720-842-4089 Fax: 720-842-4090 | |
Hannah Holloran Craven, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19641 E Parker Square Dr Ste E, Parker, CO 80134 Phone: 303-805-2222 Fax: 303-805-2226 | |
Skyler Paige Gallegos, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9998 Dransfeldt Rd, Parker, CO 80134 Phone: 303-578-0987 | |
Deirdre M Marchetti, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19641 E Parker Square Dr Ste A, Parker, CO 80134 Phone: 303-840-3800 Fax: 303-840-8442 | |
Andrea Crandall, PNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9235 Crown Crest Blvd, Suite 100, Parker, CO 80138 Phone: 720-458-6543 Fax: 720-458-6544 | |
Kaitlyn Paige Martinez, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16521 Bluebonnet Dr, Parker, CO 80134 Phone: 909-781-1976 | |
Pollyanna Pastor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9397 Crown Crest Blvd, Ste 220, Parker, CO 80138 Phone: 303-721-1670 Fax: 303-721-8117 |