| Denver Pain Relief Center PLLC | |
|
3915 E Exposition Ave Ste 100 Denver CO 80209-5052 | |
| (303) 955-4609 | |
| Not Available |
| Full Name | Denver Pain Relief Center PLLC |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3915 E Exposition Ave Ste 100, Denver, Colorado |
| Authorized Official Name and Position | Graham Reinhardt (CLINIC OWNER) |
| Authorized Official Contact | 8475715873 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Denver Pain Relief Center PLLC 3915 E Exposition Ave Ste 100 Denver CO 80209-5052 Ph: (303) 955-4609 | Denver Pain Relief Center PLLC 3915 E Exposition Ave Ste 100 Denver CO 80209-5052 Ph: (303) 955-4609 |
| NPI Number | 1447963491 |
|---|---|
| Provider Enumeration Date | 01/04/2023 |
| Last Update Date | 02/07/2023 |
| Certification Date | 02/07/2023 |
| Medicare PECOS PAC ID | 0749653202 |
|---|---|
| Medicare Enrollment ID | O20230302002682 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447963491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Secondary |
| 363L00000X | Nurse Practitioner | (NU) | Primary |
| Provider Name | Stephanie Lillibridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821518861 PECOS PAC ID: 2567732704 Enrollment ID: I20170721000626 |
| Provider Name | Kaitlin M Mcdonald |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154797348 PECOS PAC ID: 4385039619 Enrollment ID: I20220323000369 |
| Provider Name | Lonnie R. Hergott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366680852 PECOS PAC ID: 7416007505 Enrollment ID: I20230906000243 |
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