| Care Group Pc | |
|
750 Potomac St Ste 111 Aurora CO 80011-6743 | |
| (303) 343-3121 | |
| (888) 268-3486 |
| Full Name | Care Group Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 750 Potomac St Ste 111, Aurora, Colorado |
| Authorized Official Name and Position | Gerard Livaudais Guillory (PRESIDENT) |
| Authorized Official Contact | 3033433121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Care Group Pc 750 Potomac St Ste 111 Aurora CO 80011-6743 Ph: (303) 343-3121 | Care Group Pc 750 Potomac St Ste 111 Aurora CO 80011-6743 Ph: (303) 343-3121 |
| NPI Number | 1760556401 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 09/09/2021 |
| Medicare PECOS PAC ID | 3375432503 |
|---|---|
| Medicare Enrollment ID | O20040315000312 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760556401 | NPI | - | NPPES |
| CK2004 | Other | CO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 26649 (Colorado) | Primary |
| Provider Name | Gerard L Guillory |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235166315 PECOS PAC ID: 2365331501 Enrollment ID: I20050214000188 |
| Provider Name | Jessica Yates Pasha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578073953 PECOS PAC ID: 4486913969 Enrollment ID: I20180108001756 |
| Provider Name | Michelle Lee Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265043822 PECOS PAC ID: 4981023538 Enrollment ID: I20200930002561 |
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