| The Pic Place | |
|
87 Merchant Dr Montrose CO 81401-3015 | |
| (970) 252-8896 | |
| Not Available |
| Full Name | The Pic Place |
|---|---|
| Speciality | Clinic/Center |
| Location | 87 Merchant Dr, Montrose, Colorado |
| Authorized Official Name and Position | Melanie Hall (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9702528896 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Pic Place Po Box 52 Montrose CO 81402-0052 Ph: (970) 252-8896 | The Pic Place 87 Merchant Dr Montrose CO 81401-3015 Ph: (970) 252-8896 |
| NPI Number | 1235664707 |
|---|---|
| Provider Enumeration Date | 04/21/2017 |
| Last Update Date | 07/14/2017 |
| Medicare PECOS PAC ID | 3971872540 |
|---|---|
| Medicare Enrollment ID | O20170713001650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235664707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| Provider Name | Mary V Mebane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457551012 PECOS PAC ID: 4981795887 Enrollment ID: I20090127000487 |
| Provider Name | David A Dreitlein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366465957 PECOS PAC ID: 6002949997 Enrollment ID: I20100728001214 |
| Provider Name | Tiffany Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124254123 PECOS PAC ID: 8921241308 Enrollment ID: I20130904000515 |
| Provider Name | Deborah Ls Westervelt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134564370 PECOS PAC ID: 0648403170 Enrollment ID: I20140507001009 |
| Provider Name | Cory G Christensen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255853974 PECOS PAC ID: 1254603509 Enrollment ID: I20170821002512 |
| Provider Name | Theresa C Frick |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306881131 PECOS PAC ID: 3870844517 Enrollment ID: I20180919003295 |
| Provider Name | Nikki D Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518578855 PECOS PAC ID: 6204246416 Enrollment ID: I20201029000596 |
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