| Intermountain Medical Group Denver, Llc | |
| 1027 N 27th St Billings MT 59101-0711 | |
| (406) 237-5110 | |
| (406) 206-2152 | 
| Full Name | Intermountain Medical Group Denver, Llc | 
|---|---|
| Speciality | General Practice | 
| Location | 1027 N 27th St, Billings, Montana | 
| Authorized Official Name and Position | Jon Mcdaniel (VP FINANCE) | 
| Authorized Official Contact | 3032720231 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Intermountain Medical Group Denver, Llc 500 Eldorado Blvd Ste 4300 Broomfield CO 80021-3564 Ph: (303) 272-0566 | Intermountain Medical Group Denver, Llc 1027 N 27th St Billings MT 59101-0711 Ph: (406) 237-5110 | 
| NPI Number | 1669192134 | 
|---|---|
| Provider Enumeration Date | 09/02/2022 | 
| Last Update Date | 06/28/2024 | 
| Medicare PECOS PAC ID | 0840513552 | 
|---|---|
| Medicare Enrollment ID | O20221107002801 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1669192134 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary | 
| Provider Name | Kristen Beck | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1154846798 PECOS PAC ID: 8729351267 Enrollment ID: I20170906001324 | 
| Provider Name | Kellie Depuydt | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1801314075 PECOS PAC ID: 4284908518 Enrollment ID: I20170925002668 | 
| Provider Name | Abigail N Weight | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1144866948 PECOS PAC ID: 7719312610 Enrollment ID: I20200123001488 | 
| Provider Name | Tiffany Chaloux | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1164954038 PECOS PAC ID: 7911276506 Enrollment ID: I20200708002018 | 
| Provider Name | Madeline Mcgee | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1376095687 PECOS PAC ID: 1254613706 Enrollment ID: I20221220001215 | 
| Provider Name | Kara Marcinek | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1043252562 PECOS PAC ID: 5991873069 Enrollment ID: I20230113002453 | 
| Provider Name | Kristienna M Doro | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1356619357 PECOS PAC ID: 9032378583 Enrollment ID: I20230412001311 | 
| Provider Name | Elizabeth Harris | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1962421347 PECOS PAC ID: 0244227098 Enrollment ID: I20230510000803 | 
| Provider Name | Nicole Lynn Stalter | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1265449128 PECOS PAC ID: 4587691431 Enrollment ID: I20230626003509 | 
| Yellowstone City County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2626 1st Ave S, Billings, MT 59101 Phone: 406-247-3200 Fax: 406-247-3202 | |
| St Vincent Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 12th Ave N, Suite 130w, Billings, MT 59101 Phone: 406-237-3620 | |
| Pediatric Therapy Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1610 Poly Dr, Billings, MT 59102 Phone: 406-259-1680 | |
| Circle 7 Solutions Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3737 Grand Ave Ste 2, Billings, MT 59102 Phone: 406-861-5517 | |
| St. Vincent Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 12th Ave N, Suite 340w, Billings, MT 59101 Phone: 406-237-4050 Fax: 406-237-4004 | |
| Scl Health Montana Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1233 N 30th St, Billings, MT 59101 Phone: 406-237-7250 | |
| St. Vincent Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2019 Broadwater Ave, Billings, MT 59102 Phone: 406-237-5200 Fax: 406-237-5205 |