Rocky Mountain Memory Center Pllc is a medicare enrolled "Clinical Neuropsychologist" provider in Fort Collins, Colorado. Their current practice location is
951 Laporte Ave, Fort Collins, Colorado. You can reach out to their office (for appointments etc.) via phone at
(970) 221-1073.
Rocky Mountain Memory Center Pllc is licensed to practice in Colorado (license number 1990) and it also participates in the medicare program. Rocky Mountain Memory Center Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1982853073.
Healthcare Provider's Profile
| Full Name | Rocky Mountain Memory Center Pllc |
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| Type | Facility |
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| Speciality | Clinical Neuropsychologist |
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| Location | 951 Laporte Ave, Fort Collins, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1982853073
- Provider Enumeration Date: 09/12/2008
- Last Update Date: 05/24/2012
Medicare PECOS Information:
- PECOS PAC ID: 9537226139
- Enrollment ID: O20090326000277
Medical Identifiers
Medical identifiers for Rocky Mountain Memory Center Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982853073 | NPI | - | NPPES |
| 69323780 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 1024531 (Colorado) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 1990 (Colorado) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Rocky Mountain Memory Center Pllc acts as a billing entity for following providers:
| Provider Name | Kathleen A Lauren |
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| Provider Type | Practitioner - Clinical Psychologist |
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| Provider Identifiers | NPI Number: 1427101708
PECOS PAC ID: 6800888637
Enrollment ID: I20040401000618 |
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| Provider Name | Linda L Konopczynski |
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| Provider Type | Practitioner - Clinical Social Worker |
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| Provider Identifiers | NPI Number: 1023087905
PECOS PAC ID: 0840435186
Enrollment ID: I20130314000373 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rocky Mountain Memory Center Pllc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Rocky Mountain Memory Center Pllc
2801 Remington St Ste 1,
Fort Collins, CO 80525-2566
Ph: (970) 221-1073 | Rocky Mountain Memory Center Pllc
951 Laporte Ave,
Fort Collins, CO 80521-2522
Ph: (970) 221-1073 |
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