Potomac Square Family Medicine, Llc - Medicare in Aurora, CO

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Potomac Square Family Medicine, Llc is a medicare enrolled "Clinic/center - Primary Care" provider in Aurora, Colorado. Their current practice location is 13650 E Mississippi Ave Ste 110, Aurora, Colorado. You can reach out to their office (for appointments etc.) via phone at (303) 695-8684.

Potomac Square Family Medicine, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Potomac Square Family Medicine, Llc 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 1740235548.

Contact Information

Potomac Square Family Medicine, Llc
13650 E Mississippi Ave Ste 110,
Aurora, CO 80012-3573
(303) 695-8684
(303) 597-0191

Map and Direction




Healthcare Provider's Profile

Full NamePotomac Square Family Medicine, Llc
TypeFacility
SpecialityClinic/center - Primary Care
Location13650 E Mississippi Ave Ste 110, Aurora, Colorado
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740235548
  • Provider Enumeration Date: 05/23/2006
  • Last Update Date: 04/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1557333465
  • Enrollment ID: O20040811000490

Medical Identifiers

Medical identifiers for Potomac Square Family Medicine, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740235548NPI-NPPES
77404343MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
261QP2300XClinic/center - Primary Care (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Potomac Square Family Medicine, Llc acts as a billing entity for following providers:
Provider NameRichard W Jolly
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194732040
PECOS PAC ID: 8820080310
Enrollment ID: I20040402000687
Provider NameKit K Brekhus
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003866880
PECOS PAC ID: 3678479060
Enrollment ID: I20040927000751
Provider NameEric H Leder
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134160898
PECOS PAC ID: 7911967948
Enrollment ID: I20041014000444
Provider NameRachel A Bos
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790723062
PECOS PAC ID: 6204886575
Enrollment ID: I20050125000309
Provider NameCarlos F Vera
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023109188
PECOS PAC ID: 3577592575
Enrollment ID: I20050810000535
Provider NameEric J Vanzura
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114995024
PECOS PAC ID: 5799683470
Enrollment ID: I20060327000723
Provider NameTiffany L Ancheril
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417006768
PECOS PAC ID: 3971601634
Enrollment ID: I20070605000167
Provider NameLucy A Tucker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518977370
PECOS PAC ID: 0941308118
Enrollment ID: I20070612000305
Provider NameLisa E Hawkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497944672
PECOS PAC ID: 4385820844
Enrollment ID: I20110517000793
Provider NameCindi D Mcintosh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144665134
PECOS PAC ID: 8325280688
Enrollment ID: I20130815000680
Provider NameGina M Kaufman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982095089
PECOS PAC ID: 9537487665
Enrollment ID: I20150421001147
Provider NameErin Amanda Daniels
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659889400
PECOS PAC ID: 8921368614
Enrollment ID: I20180126001410
Provider NameGurvinder Singh Mangat
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851606123
PECOS PAC ID: 3476877499
Enrollment ID: I20180221001598
Provider NameVladimir Pech
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639509490
PECOS PAC ID: 2062794134
Enrollment ID: I20181107000215
Provider NameMarion J Hufford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255881835
PECOS PAC ID: 1850624909
Enrollment ID: I20190605001607
Provider NameRobert Nicolas Petro
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215349642
PECOS PAC ID: 1951615814
Enrollment ID: I20190611000657
Provider NameMegan D Edwards
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427674654
PECOS PAC ID: 0042633083
Enrollment ID: I20200708003419
Provider NameRuth Ann Bentley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750909099
PECOS PAC ID: 1850710815
Enrollment ID: I20200924003445
Provider NameKathy Robin Thai
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861087512
PECOS PAC ID: 8628485497
Enrollment ID: I20210322002558
Provider NameMisbah Faraz Khan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275108318
PECOS PAC ID: 9537560859
Enrollment ID: I20210624000970
Provider NameStephen J Epping
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821443565
PECOS PAC ID: 9638462468
Enrollment ID: I20220127000578
Provider NameNicole Goitia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578124947
PECOS PAC ID: 3870821812
Enrollment ID: I20220408002319

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. Potomac Square Family Medicine, Llc 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 AddressPractice Location Address
Potomac Square Family Medicine, Llc
Po Box 173848,
Denver, CO 80217-3848

Ph: (303) 945-3299		Potomac Square Family Medicine, Llc
13650 E Mississippi Ave Ste 110,
Aurora, CO 80012-3573

Ph: (303) 695-8684

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.