| Myndfull Care Management Colorado Pc | |
|
100 Fillmore Street 5th Floor Office 522 Denver CO 80206 | |
| (855) 839-8878 | |
| Not Available |
| Full Name | Myndfull Care Management Colorado Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Fillmore Street 5th Floor, Denver, Colorado |
| Authorized Official Name and Position | Teja Singh (CEO/OWNER) |
| Authorized Official Contact | 8558398878 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Myndfull Care Management Colorado Pc 9436 W Lake Mead Blvd Suite 5 Pmb 1113 Las Vegas NV 89134-8340 Ph: (855) 839-8878 | Myndfull Care Management Colorado Pc 100 Fillmore Street 5th Floor Office 522 Denver CO 80206 Ph: (855) 839-8878 |
| NPI Number | 1740037498 |
|---|---|
| Provider Enumeration Date | 05/01/2024 |
| Last Update Date | 05/01/2024 |
| Medicare PECOS PAC ID | 6305389453 |
|---|---|
| Medicare Enrollment ID | O20240618002295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740037498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ricko Fahy Rask |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437694668 PECOS PAC ID: 7113200551 Enrollment ID: I20170210000135 |
| Provider Name | Teja Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205875606 PECOS PAC ID: 5193732030 Enrollment ID: I20240618002874 |
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