| South Denver Physicians Pllc | |
|
13111 E Briarwood Ave #370 Centennial CO 80112 | |
| (720) 441-4410 | |
| (888) 474-7158 |
| Full Name | South Denver Physicians Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13111 E Briarwood Ave, Centennial, Colorado |
| Authorized Official Name and Position | Dmitriy I Pales (SOLE MEMBER) |
| Authorized Official Contact | 7204414410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Denver Physicians Pllc 13111 E Briarwood Ave Suite #370 Centennial CO 80112-3930 Ph: (720) 441-4410 | South Denver Physicians Pllc 13111 E Briarwood Ave #370 Centennial CO 80112 Ph: (720) 441-4410 |
| NPI Number | 1124463161 |
|---|---|
| Provider Enumeration Date | 05/03/2013 |
| Last Update Date | 03/13/2014 |
| Medicare PECOS PAC ID | 4183852684 |
|---|---|
| Medicare Enrollment ID | O20140108000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124463161 | NPI | - | NPPES |
| 148761 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 46797 (Colorado) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 47080 (Colorado) | Secondary |
| Provider Name | Dmitriy I Pales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548282700 PECOS PAC ID: 9335215250 Enrollment ID: I20080829000089 |
| Provider Name | Elina Vaysman Pales |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386746949 PECOS PAC ID: 7113922279 Enrollment ID: I20090317000223 |
Cornerstone Health Community Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7180 E Orchard Rd, Ste 306, Centennial, CO 80111 Phone: 720-452-7420 Fax: 720-446-4174 | |
Healthone Heart Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14200 E Arapahoe Rd, Centennial, CO 80112 Phone: 303-699-3000 | |
Allneuro Pathways P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7500 E Arapahoe Rd Ste 295, Centennial, CO 80112 Phone: 303-241-1080 | |
Health Now Integrated Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9137 E Mineral Cir., Ste 180, Centennial, CO 80112 Phone: 303-953-9405 Fax: 303-284-9624 | |
Mednow Clinics, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5161 E Arapahoe Rd Ste 290, Centennial, CO 80122 Phone: 720-488-0055 Fax: 720-488-3955 | |
Allergy Asthma Colorado Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7180 E Orchard Rd, #208, Centennial, CO 80111 Phone: 303-740-0998 Fax: 303-740-7250 | |
Roots Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6091 S Quebec St, Suite 200, Centennial, CO 80111 Phone: 720-390-5148 Fax: 720-729-0108 |