| Peaks Medical PC | |
|
956 W. Anemone Trail Dillon CO 80435-8043 | |
| (314) 308-7681 | |
| (314) 666-8848 |
| Full Name | Peaks Medical PC |
|---|---|
| Speciality | Clinic/Center |
| Location | 956 W. Anemone Trail, Dillon, Colorado |
| Authorized Official Name and Position | Nizar Assi (OWNER, CEO) |
| Authorized Official Contact | 3146401632 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peaks Medical PC Po Box 6132 Chesterfield MO 63006-6132 Ph: (314) 640-1632 | Peaks Medical PC 956 W. Anemone Trail Dillon CO 80435-8043 Ph: (314) 308-7681 |
| NPI Number | 1528797065 |
|---|---|
| Provider Enumeration Date | 06/09/2022 |
| Last Update Date | 06/09/2022 |
| Certification Date | 06/02/2022 |
| Medicare PECOS PAC ID | 5395115687 |
|---|---|
| Medicare Enrollment ID | O20230103000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528797065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| Provider Name | Astrid Stephanie Lampey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730174251 PECOS PAC ID: 3173704293 Enrollment ID: I20110223000358 |
| Provider Name | Jennifer Therese Merten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619447406 PECOS PAC ID: 6608115753 Enrollment ID: I20190307000148 |
| Provider Name | Nizar a Assi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1194772954 PECOS PAC ID: 7911991971 Enrollment ID: I20230103000182 |
| Provider Name | Sara K Herbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912349283 PECOS PAC ID: 8628201597 Enrollment ID: I20230109001774 |
| Provider Name | Jessica J Hinchcliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326686767 PECOS PAC ID: 4587085378 Enrollment ID: I20230126001229 |
| Provider Name | Stacy K Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720759988 PECOS PAC ID: 5193723997 Enrollment ID: I20230317000396 |
| Provider Name | Lydia L Sprouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891453395 PECOS PAC ID: 0042664294 Enrollment ID: I20230921004006 |
| Provider Name | Alice Richards |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598445223 PECOS PAC ID: 4284177114 Enrollment ID: I20240620002408 |
| Provider Name | Katherine M O'reilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215499009 PECOS PAC ID: 0648509737 Enrollment ID: I20251022003354 |
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