| 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 | Bobbie Livingston (OWNER/PRESIDENT) |
| Authorized Official Contact | 3034817030 |
| 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 | 03/30/2014 |
| Medicare PECOS PAC ID | 1951565647 |
|---|---|
| Medicare Enrollment ID | O20120608000291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275813297 | NPI | - | NPPES |
| 01789759 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | 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 | Vincent B Adamo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548244569 PECOS PAC ID: 5890791891 Enrollment ID: I20090206000520 |
| Provider Name | Karlee N Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013247808 PECOS PAC ID: 0143344622 Enrollment ID: I20100907000225 |
| Provider Name | Mehul V Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497865216 PECOS PAC ID: 6608922661 Enrollment ID: I20130411000369 |
| Provider Name | Carolyn M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861873887 PECOS PAC ID: 2466753793 Enrollment ID: I20151210001788 |
| Provider Name | Daniela L Souza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245600543 PECOS PAC ID: 0446554992 Enrollment ID: I20160204000299 |
| Provider Name | Darcy A Koehn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376730259 PECOS PAC ID: 4183714728 Enrollment ID: I20170710001098 |
| Provider Name | Gwendolyn Eshie Elango |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679121016 PECOS PAC ID: 2668801010 Enrollment ID: I20200406001687 |
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