Healogics Specialty Physicians Of Colorado-professional, Llc - Medicare Primary Care in Parker, CO

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Healogics Specialty Physicians Of Colorado-professional, Llc is a medicare enrolled primary clinic (Preventive Medicine - Undersea And Hyperbaric Medicine) in Parker, Colorado. The current practice location for Healogics Specialty Physicians Of Colorado-professional, Llc is 9399 Crown Crest Blvd Ste 430, Parker, Colorado. For appointments, you can reach them via phone at (303) 269-2310. The mailing address for Healogics Specialty Physicians Of Colorado-professional, Llc is Po Box 645743, Cincinnati, Ohio and phone number is (855) 689-5105.

Healogics Specialty Physicians Of Colorado-professional, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1114331006. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (303) 269-2310.

Contact Information

Healogics Specialty Physicians Of Colorado-professional, Llc
9399 Crown Crest Blvd Ste 430
Parker
CO 80138-8527
(303) 269-2310
(303) 269-2319

Map and Direction


Primary Care Clinic Profile

Full NameHealogics Specialty Physicians Of Colorado-professional, Llc
SpecialityPreventive Medicine
Location9399 Crown Crest Blvd Ste 430, Parker, Colorado
Authorized Official Name and PositionFrank Williams (CEO)
Authorized Official Contact8556895105
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Healogics Specialty Physicians Of Colorado-professional, Llc
Po Box 645743
Cincinnati
OH 45264-6018

Ph: (855) 689-5105		Healogics Specialty Physicians Of Colorado-professional, Llc
9399 Crown Crest Blvd Ste 430
Parker
CO 80138-8527

Ph: (303) 269-2310

NPI Details:

NPI Number1114331006
Provider Enumeration Date06/18/2014
Last Update Date06/01/2023

Medicare PECOS Information:

Medicare PECOS PAC ID4183941834
Medicare Enrollment IDO20150318000983

Medical Identifiers

Medical identifiers for Healogics Specialty Physicians Of Colorado-professional, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114331006NPI-NPPES
1114331006OtherCONPI
35233559MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
208100000XPhysical Medicine & Rehabilitation (* (Not Available))Secondary
2083P0011XPreventive Medicine - Undersea And Hyperbaric Medicine (* (Not Available))Primary
208600000XSurgery (* (Not Available))Secondary
208D00000XGeneral Practice (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
364S00000XClinical Nurse Specialist (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Healogics Specialty Physicians Of Colorado-professional, Llc acts as a billing entity for following providers:
Provider NameJohn Todd White
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104821826
PECOS PAC ID: 4880685189
Enrollment ID: I20040524000783
Provider NameMegan W Eliassen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467461483
PECOS PAC ID: 2567413289
Enrollment ID: I20050209000960
Provider NameDennis P Cirillo
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1962563528
PECOS PAC ID: 2163455726
Enrollment ID: I20050914000495
Provider NameTrent L Hovenga
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1881677821
PECOS PAC ID: 3577597475
Enrollment ID: I20050920001327
Provider NameAntony C Pearson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235136201
PECOS PAC ID: 0244255198
Enrollment ID: I20051010000640
Provider NameJohn Mcmanus
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1396761367
PECOS PAC ID: 4183647647
Enrollment ID: I20060110001181
Provider NameAgnes M Eytchison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205003076
PECOS PAC ID: 6002981438
Enrollment ID: I20080826000377
Provider NameCraig A Reynolds
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1174706006
PECOS PAC ID: 4486796687
Enrollment ID: I20100127000170
Provider NameMark S Flora
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417929019
PECOS PAC ID: 9133252216
Enrollment ID: I20100727000814
Provider NameGregory S Maeder
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427387984
PECOS PAC ID: 4587798236
Enrollment ID: I20100817000327
Provider NameAmanda M Mcsweeney
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1124073705
PECOS PAC ID: 5496769978
Enrollment ID: I20110211000416
Provider NameDavid Boyd Cox
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1831351303
PECOS PAC ID: 3274705207
Enrollment ID: I20111017000195
Provider NameIlka V Nowak
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114976776
PECOS PAC ID: 4284733908
Enrollment ID: I20120302000418
Provider NameGlen D Kelley
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1679860019
PECOS PAC ID: 5193968626
Enrollment ID: I20130830000342
Provider NameChristopher A Morrison
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134150501
PECOS PAC ID: 1153220025
Enrollment ID: I20150318001753
Provider NameDavid M Hardin
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1639174907
PECOS PAC ID: 8527118785
Enrollment ID: I20150318002011
Provider NameJessica Fisher
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528311487
PECOS PAC ID: 4688804867
Enrollment ID: I20160406000564
Provider NameConstance Lynn Roark
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427193598
PECOS PAC ID: 0446320006
Enrollment ID: I20170518002728
Provider NameConnie Hetzel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538697032
PECOS PAC ID: 2264700996
Enrollment ID: I20170621000405
Provider NameJennifer Henderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407379399
PECOS PAC ID: 4981960754
Enrollment ID: I20171110000784
Provider NameTamara Shafer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356420707
PECOS PAC ID: 7618997701
Enrollment ID: I20171214001336
Provider NameJill M Aucoin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013405711
PECOS PAC ID: 7810252012
Enrollment ID: I20180517000066
Provider NameMallory E Knott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477049864
PECOS PAC ID: 5799035465
Enrollment ID: I20180830002551
Provider NameHeather Ann Tribble
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437572898
PECOS PAC ID: 3476785866
Enrollment ID: I20181029002066
Provider NameGrace Ann Staehlin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164991238
PECOS PAC ID: 9537403258
Enrollment ID: I20181207000416
Provider NameElizabeth C Santaniello
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851822175
PECOS PAC ID: 1052661394
Enrollment ID: I20190124001530
Provider NameChristine A Wibby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932574092
PECOS PAC ID: 8325341258
Enrollment ID: I20190627002412
Provider NameAmy J Pate
Provider TypePractitioner - Preventive Medicine
Provider IdentifiersNPI Number: 1164724258
PECOS PAC ID: 5799053260
Enrollment ID: I20190814002955
Provider NameDavid Andrew Southwick
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1619966462
PECOS PAC ID: 1456454032
Enrollment ID: I20190906000108
Provider NameDavid B Stuart
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881040707
PECOS PAC ID: 4284922063
Enrollment ID: I20190920001346
Provider NameRobert Steven Gazaway
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144297409
PECOS PAC ID: 8527390764
Enrollment ID: I20191021003453
Provider NameDonette Survance
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487047775
PECOS PAC ID: 0648599464
Enrollment ID: I20191113001778
Provider NameLaura E Noel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447778444
PECOS PAC ID: 3375809114
Enrollment ID: I20200302002502
Provider NameFariba Brady
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891301800
PECOS PAC ID: 1557772613
Enrollment ID: I20201120000344
Provider NameMargarita Justa Ortiz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811547672
PECOS PAC ID: 2567877269
Enrollment ID: I20210210001320
Provider NameCharles Porter Sloan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720541170
PECOS PAC ID: 1153721568
Enrollment ID: I20210607001133
Provider NameElizabeth Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114475019
PECOS PAC ID: 7416221247
Enrollment ID: I20210622000757
Provider NameBryan Sleigh
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1780771782
PECOS PAC ID: 4284859398
Enrollment ID: I20210727000854
Provider NameAngela Stokes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730685959
PECOS PAC ID: 7416206909
Enrollment ID: I20220103000039
Provider NameAmy D Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114681566
PECOS PAC ID: 0446644371
Enrollment ID: I20220218000941
Provider NameMelissa Stephanie Sisko
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518686351
PECOS PAC ID: 1355727538
Enrollment ID: I20220927000710
Provider NameShawna Phillips
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700296001
PECOS PAC ID: 0749666469
Enrollment ID: I20221004002500
Provider NameJared J Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124736418
PECOS PAC ID: 7315319720
Enrollment ID: I20230213001752
Provider NameJamie Kathryn Rendler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861808750
PECOS PAC ID: 8628345782
Enrollment ID: I20230726001662
Provider NameJonathan Borjeson
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1801870589
PECOS PAC ID: 3971584392
Enrollment ID: I20240306004128

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.