| Edwards Medical Provider Group | |
|
2205 Cordillera Way Ste Ll Edwards CO 81632-6290 | |
| (970) 693-0015 | |
| Not Available |
| Full Name | Edwards Medical Provider Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 2205 Cordillera Way Ste Ll, Edwards, Colorado |
| Authorized Official Name and Position | Christopher Austin (CFO) |
| Authorized Official Contact | 7149265846 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edwards Medical Provider Group 2205 Cordillera Way Ste Ll Edwards CO 81632-6290 Ph: (800) 829-4933 | Edwards Medical Provider Group 2205 Cordillera Way Ste Ll Edwards CO 81632-6290 Ph: (970) 693-0015 |
| NPI Number | 1619573904 |
|---|---|
| Provider Enumeration Date | 12/10/2020 |
| Last Update Date | 02/01/2024 |
| Medicare PECOS PAC ID | 1759767833 |
|---|---|
| Medicare Enrollment ID | O20220927001058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619573904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Kathleen Daly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568781698 PECOS PAC ID: 0042533952 Enrollment ID: I20141230000683 |
| Provider Name | Michelle D Presley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578812178 PECOS PAC ID: 2860632916 Enrollment ID: I20160411001849 |
| Provider Name | Adriana B De Julio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942509583 PECOS PAC ID: 4183928989 Enrollment ID: I20191112002189 |
| Provider Name | James Montgomery |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861469603 PECOS PAC ID: 7416007034 Enrollment ID: I20230821002597 |
| Provider Name | Omar Elhaj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821103904 PECOS PAC ID: 0648289744 Enrollment ID: I20231114002528 |
Edwards Outpatient Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 Beard Creek Rd Ste 1300, Edwards, CO 81632 Phone: 970-569-7656 | |
Howard Head Sports Medicine At Edwards Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Beard Creek Rd Ste 1100, Edwards, CO 81632 Phone: 970-569-7777 | |
Vail Infectious Disease, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1140 Edwards Village Blvd, Suite B105, Edwards, CO 81658 Phone: 970-390-6631 Fax: 303-750-8000 | |
Howard Head Sports Medicine At Edwards Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 320 Beard Creek Rd Ste 1100, Edwards, CO 81632 Phone: 970-476-1225 | |
Shaw Cancer Center - Service Of Vail Health Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 Beard Creek Rd, Edwards, CO 81632 Phone: 970-569-7429 | |
Dennis Lipton, Md, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 28 2nd St Ste 216, Edwards, CO 81632 Phone: 970-446-5050 | |
Colorado Mountain Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 81 Morgan Dr # B, Edwards, CO 81632 Phone: 970-926-6340 Fax: 970-926-6348 |