| Teleicare, LLC | |
|
585 Penn Rd. Elizabeth CO 80107 | |
| (720) 435-7782 | |
| Not Available |
| Full Name | Teleicare, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 585 Penn Rd., Elizabeth, Colorado |
| Authorized Official Name and Position | Caroline Ivette Pena (OWNER) |
| Authorized Official Contact | 7205231237 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Teleicare, LLC 834 S Perry St Ste F Castle Rock CO 80104-1941 Ph: (720) 523-1237 | Teleicare, LLC 585 Penn Rd. Elizabeth CO 80107 Ph: (720) 435-7782 |
| NPI Number | 1629935341 |
|---|---|
| Provider Enumeration Date | 01/06/2026 |
| Last Update Date | 05/04/2026 |
| Certification Date | 05/04/2026 |
| Medicare PECOS PAC ID | 4486134756 |
|---|---|
| Medicare Enrollment ID | O20260216003130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629935341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Caroline Ivette Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649013814 PECOS PAC ID: 7416495460 Enrollment ID: I20240821002737 |
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