| Homedoc, Pc | |
|
2584 Reserve St Erie CO 80516-2505 | |
| (970) 391-4303 | |
| Not Available |
| Full Name | Homedoc, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2584 Reserve St, Erie, Colorado |
| Authorized Official Name and Position | Charles Scott Kopel (CMO) |
| Authorized Official Contact | 9703914303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Homedoc, Pc Po Box 479 Erie CO 80516-0479 Ph: (970) 391-4303 | Homedoc, Pc 2584 Reserve St Erie CO 80516-2505 Ph: (970) 391-4303 |
| NPI Number | 1821818832 |
|---|---|
| Provider Enumeration Date | 10/14/2024 |
| Last Update Date | 10/14/2024 |
| Medicare PECOS PAC ID | 2961936927 |
|---|---|
| Medicare Enrollment ID | O20241113002013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821818832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Charles Kopel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518966415 PECOS PAC ID: 2365346582 Enrollment ID: I20061201000101 |
| Provider Name | Kathleen Rye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003054859 PECOS PAC ID: 9638357320 Enrollment ID: I20110628000700 |
| Provider Name | Heather A Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942351333 PECOS PAC ID: 3678587656 Enrollment ID: I20120717000599 |
| Provider Name | Lee Marie Rosacci |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336587567 PECOS PAC ID: 0042537995 Enrollment ID: I20160917000200 |
| Provider Name | Amber Lester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891296232 PECOS PAC ID: 0547519746 Enrollment ID: I20210322000577 |
| Provider Name | Misty Dawn Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851992176 PECOS PAC ID: 7911314299 Enrollment ID: I20210405000019 |
| Provider Name | Kelsey J Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538764303 PECOS PAC ID: 0648689448 Enrollment ID: I20210507000299 |
| Provider Name | Samantha J Cinadr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750962098 PECOS PAC ID: 8729485560 Enrollment ID: I20210922000669 |
| Provider Name | Michelle Bower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407497605 PECOS PAC ID: 6406244003 Enrollment ID: I20211101003182 |
| Provider Name | Amber Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992375513 PECOS PAC ID: 6406248004 Enrollment ID: I20220111001400 |
| Provider Name | Leigh Kraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831702091 PECOS PAC ID: 1759791981 Enrollment ID: I20220124001798 |
| Provider Name | Alicia Michele Hennessee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174176457 PECOS PAC ID: 2961881933 Enrollment ID: I20220622000529 |
| Provider Name | Lamija Quinonez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316651540 PECOS PAC ID: 9638428980 Enrollment ID: I20230209001997 |
| Provider Name | Patricia Caporale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508545427 PECOS PAC ID: 2466816459 Enrollment ID: I20230908002280 |
| Provider Name | Natalie Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861246282 PECOS PAC ID: 5991242281 Enrollment ID: I20240805001545 |
| Provider Name | Aaron Bubb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760003040 PECOS PAC ID: 5294124053 Enrollment ID: I20240909001593 |
| Provider Name | Shelby Rogers Dearman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285458497 PECOS PAC ID: 3971032624 Enrollment ID: I20250124000358 |
| Provider Name | Angela Walsh Koons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295204618 PECOS PAC ID: 1557796554 Enrollment ID: I20250604001250 |
Carpenter Medical Group Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 458 Mazzini St, Erie, CO 80516 Phone: 719-398-1901 | |
Gloria Bachelder Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 636 Kattell Street, Erie, CO 80516 Phone: 303-828-9200 | |
Boulder Medical Center, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 89 S Briggs St Ste 105, Erie, CO 80516 Phone: 303-673-0448 | |
Portercare Adventist Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Mitchell Way Ste 103, Erie, CO 80516 Phone: 303-269-2780 Fax: 303-269-2790 | |
Adventhealth Primary Care Rmr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Mitchell Way Ste 103, Erie, CO 80516 Phone: 303-269-2780 | |
Portercare Adventist Health Systems Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Mitchell Way, Suite 103, Erie, CO 80516 Phone: 303-269-2780 Fax: 303-269-2790 | |
Greenway Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 Austin Ave Ste 103, Erie, CO 80516 Phone: 205-901-2879 |