| Miramont Family Medicine | |
|
4674 Snow Mesa Dr Ste 140 Ft Collins CO 80528 | |
| (970) 482-0213 | |
| (970) 482-9646 |
| Full Name | Miramont Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 4674 Snow Mesa Dr, Ft Collins, Colorado |
| Authorized Official Name and Position | Teresa E Bender (PRACTICE ADMIN) |
| Authorized Official Contact | 9704820213 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miramont Family Medicine 4674 Snow Mesa Dr Ste 140 Ft Collins CO 80528 Ph: (970) 482-0213 | Miramont Family Medicine 4674 Snow Mesa Dr Ste 140 Ft Collins CO 80528 Ph: (970) 482-0213 |
| NPI Number | 1215027107 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 03/05/2013 |
| Medicare PECOS PAC ID | 6204725575 |
|---|---|
| Medicare Enrollment ID | O20040313000642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215027107 | NPI | - | NPPES |
| 654282 | Other | BC/BS | |
| 19930054 | Medicaid | CO |
| Provider Name | Janice M Weixelman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447225180 PECOS PAC ID: 9234042375 Enrollment ID: I20031106000164 |
| Provider Name | Juan B Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811987829 PECOS PAC ID: 5092755538 Enrollment ID: I20050504000783 |
| Provider Name | John L Bender |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609864065 PECOS PAC ID: 6002705373 Enrollment ID: I20050715000220 |
| Provider Name | Prema M Jacob |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487633533 PECOS PAC ID: 9234195215 Enrollment ID: I20060227000500 |
| Provider Name | Kelly H Lowther |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871666172 PECOS PAC ID: 0244224632 Enrollment ID: I20070220000250 |
| Provider Name | Ted K Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518092683 PECOS PAC ID: 6204931603 Enrollment ID: I20070413000078 |
| Provider Name | Douglas B Deyoung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811989064 PECOS PAC ID: 9830113703 Enrollment ID: I20071119000342 |
| Provider Name | Bryan K Reichert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316174022 PECOS PAC ID: 9830373620 Enrollment ID: I20110401000405 |
| Provider Name | Julie Marie Leclaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154668788 PECOS PAC ID: 4183879851 Enrollment ID: I20131220001471 |
| Provider Name | Julie Deters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861713075 PECOS PAC ID: 3476786237 Enrollment ID: I20140501000155 |
| Provider Name | Samantha E Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346361599 PECOS PAC ID: 9234218454 Enrollment ID: I20140508000995 |
| Provider Name | Jason Michael West |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962634923 PECOS PAC ID: 1153647870 Enrollment ID: I20150224000312 |
| Provider Name | Carolynn S Francavilla Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568753739 PECOS PAC ID: 6305088006 Enrollment ID: I20150227001581 |
| Provider Name | Judy Leanne Seguin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891183364 PECOS PAC ID: 4486973500 Enrollment ID: I20150512000939 |
| Provider Name | Lisa M Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124360771 PECOS PAC ID: 5294052478 Enrollment ID: I20150924001474 |
| Provider Name | Oscar L Sanders |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1487804068 PECOS PAC ID: 1759607534 Enrollment ID: I20160405001300 |
| Provider Name | Donald G Dickman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205832433 PECOS PAC ID: 1254242266 Enrollment ID: I20200805003377 |
Joseph M Lopez Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1136 E Stuart St, Suite 4202, Ft Collins, CO 80525 Phone: 970-221-5925 Fax: 970-221-5012 | |
Concentra Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 South Lemay Avenue, Ft Collins, CO 80524 Phone: 970-482-6620 | |
Fort Collins Family Physicians Professional Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2121 E Harmony Rd, Ste 370, Ft Collins, CO 80528 Phone: 970-221-2290 Fax: 970-295-0036 |