| Premier Pain Management Llc | |
|
8671 S Quebec St Ste 150 Highlands Ranch CO 80130-5861 | |
| (303) 683-6868 | |
| (303) 683-2629 |
| Full Name | Premier Pain Management Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 8671 S Quebec St Ste 150, Highlands Ranch, Colorado |
| Authorized Official Name and Position | Ryan Woods (CLINIC DIRECTOR) |
| Authorized Official Contact | 3036836868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Pain Management Llc 8671 S Quebec St Ste 150 Highlands Ranch CO 80130-5861 Ph: (303) 683-6868 | Premier Pain Management Llc 8671 S Quebec St Ste 150 Highlands Ranch CO 80130-5861 Ph: (303) 683-6868 |
| NPI Number | 1366212292 |
|---|---|
| Provider Enumeration Date | 01/02/2024 |
| Last Update Date | 01/02/2024 |
| Medicare PECOS PAC ID | 6709224397 |
|---|---|
| Medicare Enrollment ID | O20240402000952 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366212292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ryan Woods |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1386945343 PECOS PAC ID: 7113188467 Enrollment ID: I20120412000382 |
| Provider Name | Ryan Woods |
|---|---|
| Provider Type | Practitioner - Single Or Multispecialty Clinic Or Group Practice |
| Provider Identifiers | NPI Number: 1386945343 PECOS PAC ID: 7113188467 Enrollment ID: I20141111000923 |
| Provider Name | Ricko Fahy Rask |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437694668 PECOS PAC ID: 7113200551 Enrollment ID: I20170210000135 |
| Provider Name | Tanja R Burkinshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619637139 PECOS PAC ID: 0547655938 Enrollment ID: I20220322001474 |
| Provider Name | Allison Jean Ahern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205699485 PECOS PAC ID: 6507204104 Enrollment ID: I20240402001436 |
| Provider Name | Renee Good |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831893510 PECOS PAC ID: 9830628346 Enrollment ID: I20250129001550 |
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