| Belleview Spine And Wellness Pc | |
|
5191 S Yosemite St Suite A Greenwood Village CO 80111-3305 | |
| (303) 771-3102 | |
| Not Available |
| Full Name | Belleview Spine And Wellness Pc |
|---|---|
| Speciality | General Practice |
| Location | 5191 S Yosemite St, Greenwood Village, Colorado |
| Authorized Official Name and Position | Tamara Johnson (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3037713102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Belleview Spine And Wellness Pc 5191 S Yosemite St Suite A Greenwood Village CO 80111-3305 Ph: (303) 771-3102 | Belleview Spine And Wellness Pc 5191 S Yosemite St Suite A Greenwood Village CO 80111-3305 Ph: (303) 771-3102 |
| NPI Number | 1306387410 |
|---|---|
| Provider Enumeration Date | 03/09/2017 |
| Last Update Date | 03/22/2017 |
| Medicare PECOS PAC ID | 2769769454 |
|---|---|
| Medicare Enrollment ID | O20170505001674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306387410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | CO49380 (Colorado) | Primary |
| Provider Name | Donald W Gibson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1982870267 PECOS PAC ID: 4082667282 Enrollment ID: I20090817000352 |
| Provider Name | Tamara Rae Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992739890 PECOS PAC ID: 7618905704 Enrollment ID: I20120601000305 |
| Provider Name | Lauren Faye Petasne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396261525 PECOS PAC ID: 8123387974 Enrollment ID: I20181025002714 |
| Provider Name | Nicole Marie Mcphee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558530972 PECOS PAC ID: 3870642002 Enrollment ID: I20191105002896 |
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