| Button Family Practice PC | |
|
715 South 9th Street Canon City CO 81212-4911 | |
| (719) 269-8820 | |
| (719) 204-0230 |
| Full Name | Button Family Practice PC |
|---|---|
| Speciality | Clinic/Center |
| Location | 715 South 9th Street, Canon City, Colorado |
| Authorized Official Name and Position | Marcus a Button (OWNER OPERATOR PRESIDENT) |
| Authorized Official Contact | 7192698820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Button Family Practice PC 715 South 9th Street Canon City CO 81212-4911 Ph: (719) 269-8820 | Button Family Practice PC 715 South 9th Street Canon City CO 81212-4911 Ph: (719) 269-8820 |
| NPI Number | 1144269739 |
|---|---|
| Provider Enumeration Date | 06/06/2006 |
| Last Update Date | 02/14/2024 |
| Certification Date | 02/14/2024 |
| Medicare PECOS PAC ID | 0840225413 |
|---|---|
| Medicare Enrollment ID | O20051003000288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144269739 | NPI | - | NPPES |
| 04321863 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (NU) | Primary |
| Provider Name | Marcus a Button |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316943236 PECOS PAC ID: 8022042217 Enrollment ID: I20050927000521 |
| Provider Name | Jennifer K Button |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013913086 PECOS PAC ID: 3375578941 Enrollment ID: I20051004000214 |
| Provider Name | Tabitha M Lane |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356650360 PECOS PAC ID: 1557541588 Enrollment ID: I20110209000216 |
| Provider Name | Darlene M Mcphee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699825307 PECOS PAC ID: 7214244243 Enrollment ID: I20150923001685 |
| Provider Name | Elizabeth Fanning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699328120 PECOS PAC ID: 2466782123 Enrollment ID: I20190923001601 |
| Provider Name | Logan Bianchi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730765637 PECOS PAC ID: 0749699460 Enrollment ID: I20210511000469 |
| Provider Name | Molly K Roose |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134702525 PECOS PAC ID: 0749680684 Enrollment ID: I20210614002716 |
| Provider Name | Kathryn Rodrigues |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598349508 PECOS PAC ID: 9830591924 Enrollment ID: I20210712004074 |
| Provider Name | Susan a Hoekstra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306431564 PECOS PAC ID: 5991193773 Enrollment ID: I20211027002579 |
| Provider Name | Kathleen R Kopacz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285392779 PECOS PAC ID: 4082006028 Enrollment ID: I20220124002892 |
| Provider Name | Quinn David Robertson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568118263 PECOS PAC ID: 0446638001 Enrollment ID: I20220609002850 |
| Provider Name | Brytani Ladawn White |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437883402 PECOS PAC ID: 4789022880 Enrollment ID: I20240409002800 |
| Provider Name | Mikaela R Goodwater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154143089 PECOS PAC ID: 3072041284 Enrollment ID: I20250115000914 |
| Provider Name | Abigail Rose Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720871452 PECOS PAC ID: 4789197153 Enrollment ID: I20250630000716 |
| Provider Name | Kristy Blood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750824843 PECOS PAC ID: 8628404415 Enrollment ID: I20260429004419 |
Ncaldwell Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1338 Phay Ave, Canon City, CO 81212 Phone: 702-453-3799 Fax: 702-453-5741 |
James F. Reppert, M.D. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1335 Phay Ave Ste A, Canon City, CO 81212 Phone: 719-275-4151 Fax: 719-275-3743 |
Colorado Mountain Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 115 S 7th St Ste 112, Canon City, CO 81212 Phone: 719-299-0988 |
Rocky Mountain Clinics LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1121 Main St, Canon City, CO 81212 Phone: 209-309-1885 |
Marc A. Sindler, MD Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 N 5th St, Canon City, CO 81212 Phone: 719-275-4137 |
Solvista Health Corp. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3225 Independence Rd, Canon City, CO 81212 Phone: 719-275-2351 |