| Preferred Provider Services, LLC | |
|
3025 S Parker Rd Suite 100 Aurora CO 80014-2911 | |
| (303) 481-7030 | |
| (303) 745-7665 |
| Full Name | Preferred Provider Services, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 3025 S Parker Rd, Aurora, Colorado |
| Authorized Official Name and Position | Lola Edwards (PRESIDENT) |
| Authorized Official Contact | 0334817030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Preferred Provider Services, LLC 3025 S Parker Rd Suite 100 Aurora CO 80014-2911 Ph: (303) 481-7030 | Preferred Provider Services, LLC 3025 S Parker Rd Suite 100 Aurora CO 80014-2911 Ph: (303) 481-7030 |
| NPI Number | 1275813297 |
|---|---|
| Provider Enumeration Date | 08/22/2011 |
| Last Update Date | 01/24/2025 |
| Certification Date | 01/24/2025 |
| Medicare PECOS PAC ID | 1951565647 |
|---|---|
| Medicare Enrollment ID | O20120608000291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275813297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | () | Primary |
| Provider Name | Bobbie J Livingston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336268010 PECOS PAC ID: 4385546241 Enrollment ID: I20071127000637 |
| Provider Name | Karlee N Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013247808 PECOS PAC ID: 0143344622 Enrollment ID: I20100907000225 |
| Provider Name | Daniela L Souza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245600543 PECOS PAC ID: 0446554992 Enrollment ID: I20160204000299 |
| Provider Name | Augustine Rios |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477039931 PECOS PAC ID: 1153757992 Enrollment ID: I20200214000526 |
| Provider Name | Evelyn a Ehizuelen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982488797 PECOS PAC ID: 3476903956 Enrollment ID: I20231224000080 |
| Provider Name | Rebecca R Lechman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366254906 PECOS PAC ID: 2860912144 Enrollment ID: I20250218001808 |
| Provider Name | Lisa Golley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750917290 PECOS PAC ID: 9830516830 Enrollment ID: I20260320003692 |
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