| Adult Medicine Specialists Pc | |
|
314 W 16th St Pueblo CO 81003-2728 | |
| (719) 546-3511 | |
| (719) 583-1292 |
| Full Name | Adult Medicine Specialists Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 314 W 16th St, Pueblo, Colorado |
| Authorized Official Name and Position | Sally K Prutch (OFFICE MANAGER) |
| Authorized Official Contact | 7195463511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult Medicine Specialists Pc 314 W 16th St Pueblo CO 81003 Ph: (719) 546-3511 | Adult Medicine Specialists Pc 314 W 16th St Pueblo CO 81003-2728 Ph: (719) 546-3511 |
| NPI Number | 1316162464 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 06/13/2012 |
| Medicare PECOS PAC ID | 5092606863 |
|---|---|
| Medicare Enrollment ID | O20040322001231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316162464 | NPI | - | NPPES |
| 04004313 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 23565 (Colorado) | Primary |
| Provider Name | Sergio Alberto Murillo Herrera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598923757 PECOS PAC ID: 3870653348 Enrollment ID: I20081114000371 |
| Provider Name | Peggi Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366419582 PECOS PAC ID: 9436207222 Enrollment ID: I20111109000499 |
| Provider Name | Kayla Previdi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619416765 PECOS PAC ID: 3678842739 Enrollment ID: I20170705001013 |
| Provider Name | Briana Joy Belisle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285140400 PECOS PAC ID: 7315282076 Enrollment ID: I20181227001805 |
| Provider Name | Karla Rae Richardson-trujillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013492719 PECOS PAC ID: 4688903628 Enrollment ID: I20190917001096 |
| Provider Name | Tina M Tripp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194282111 PECOS PAC ID: 1557799988 Enrollment ID: I20200319000355 |
| Provider Name | Daniel K Vaught |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609282482 PECOS PAC ID: 1759629504 Enrollment ID: I20220131001848 |
| Provider Name | Anthony L Ortegon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356550354 PECOS PAC ID: 8022203108 Enrollment ID: I20220223001254 |
| Provider Name | Barrett M Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407547193 PECOS PAC ID: 8022479773 Enrollment ID: I20230728000387 |
Lake Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Lake Ave, Pueblo, CO 81004 Phone: 719-564-0300 Fax: 719-564-0303 | |
Risley School Based Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 N Monument Ave, Pueblo, CO 81001 Phone: 719-543-8711 Fax: 719-543-5340 | |
Digestive Diseases Specialists Of Colorado,llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1600 N Grand Ave, Suite 440, Pueblo, CO 81003 Phone: 719-543-3500 Fax: 719-543-3504 | |
Parkview Ancillary Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 West 15th Street, Ste. 300, Pueblo, CO 81003 Phone: 719-542-1696 Fax: 719-542-1698 | |
Concentra Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4117 N Elizabeth St, Pueblo, CO 81008 Phone: 719-545-0788 | |
Front Range Clinic Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1249 E Routt Ave, Pueblo, CO 81004 Phone: 720-808-0051 | |
Health Solutions Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1302 Chinook Ln, Pueblo, CO 81001 Phone: 719-545-2746 |