Colorado Concussion Clinic - Medicare in Wheat Ridge, CO

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Colorado Concussion Clinic is a medicare enrolled "Physical Medicine & Rehabilitation - Brain Injury Medicine" provider in Wheat Ridge, Colorado. Their current practice location is 4251 Kipling St Unit 405, Wheat Ridge, Colorado. You can reach out to their office (for appointments etc.) via phone at (303) 932-2030.

Colorado Concussion Clinic is licensed to practice in NU (license number ) and it also participates in the medicare program. Colorado Concussion Clinic is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1205215662.

Contact Information

Colorado Concussion Clinic
4251 Kipling St Unit 405,
Wheat Ridge, CO 80033-6833
(303) 932-2030
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameColorado Concussion Clinic
TypeFacility
SpecialityPhysical Medicine & Rehabilitation - Brain Injury Medicine
Location4251 Kipling St Unit 405, Wheat Ridge, Colorado
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205215662
  • Provider Enumeration Date: 05/19/2015
  • Last Update Date: 11/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5092027409
  • Enrollment ID: O20150626001147

Medical Identifiers

Medical identifiers for Colorado Concussion Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205215662NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist SLP.0002016 (Colorado)Secondary
2081P0301XPhysical Medicine & Rehabilitation - Brain Injury Medicine (NU)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Colorado Concussion Clinic acts as a billing entity for following providers:
Provider NameTonya L Fuller
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720378425
PECOS PAC ID: 1254585490
Enrollment ID: I20130216000003
Provider NameSarah M Wilson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1427208289
PECOS PAC ID: 8729227368
Enrollment ID: I20130612000129
Provider NameKathryn A Reitz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407143019
PECOS PAC ID: 2567788003
Enrollment ID: I20150227001901
Provider NameAllison R Gray
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1437388857
PECOS PAC ID: 2860654001
Enrollment ID: I20150827002467
Provider NameJessica M Bandelier
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093197592
PECOS PAC ID: 8123335486
Enrollment ID: I20150918000633
Provider NameKelly A Gorman
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1801272778
PECOS PAC ID: 1052621935
Enrollment ID: I20151104002542
Provider NameHilary B Booco
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1316355365
PECOS PAC ID: 7911295829
Enrollment ID: I20161010000752
Provider NameBethany A Thorson
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1346789559
PECOS PAC ID: 1254616931
Enrollment ID: I20170320001708
Provider NameMichelle G Rhodes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982012100
PECOS PAC ID: 5890017800
Enrollment ID: I20171023002307
Provider NameMari A Gottlieb
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1558852525
PECOS PAC ID: 0446597744
Enrollment ID: I20190124001610
Provider NameKatherine L Smulligan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992269237
PECOS PAC ID: 4981945706
Enrollment ID: I20190404001238
Provider NameMiranda Rose Bellantoni
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760949309
PECOS PAC ID: 3274874847
Enrollment ID: I20190408002658
Provider NameSarah M Johnson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1386138246
PECOS PAC ID: 2668721796
Enrollment ID: I20200218000750
Provider NameHaley J Moran
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649871070
PECOS PAC ID: 4789075649
Enrollment ID: I20220103001991
Provider NameDana C Fritschi
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1659029593
PECOS PAC ID: 2264827492
Enrollment ID: I20220324001571
Provider NameHannah F Beach
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1447866561
PECOS PAC ID: 7911394622
Enrollment ID: I20220428000008
Provider NameHannah Washko
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1841922325
PECOS PAC ID: 5799166013
Enrollment ID: I20220719000215
Provider NameCaris A Giessler
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1033781885
PECOS PAC ID: 8426434374
Enrollment ID: I20220930000712
Provider NameBenjamin Williamson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740905926
PECOS PAC ID: 6608240817
Enrollment ID: I20230329001292
Provider NameCodi Kincaid
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1285343681
PECOS PAC ID: 8729447230
Enrollment ID: I20230630001937
Provider NameValerie R Greenslade
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1457072761
PECOS PAC ID: 9032595202
Enrollment ID: I20230726003986
Provider NameMelissa Hundley Wolak
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1124248893
PECOS PAC ID: 6800336520
Enrollment ID: I20240909004442
Provider NameStephanie Beth Williams
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346824257
PECOS PAC ID: 5193256592
Enrollment ID: I20241009000185
Provider NameChristopher Ketter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750764916
PECOS PAC ID: 8527372309
Enrollment ID: I20250604002657
Provider NamePaula J Vogel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710761309
PECOS PAC ID: 5991153132
Enrollment ID: I20250908001318
Provider NameWilliam S Lamm
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285514968
PECOS PAC ID: 6204324338
Enrollment ID: I20251021004311
Provider NameLauren Smith
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619859121
PECOS PAC ID: 7012405814
Enrollment ID: I20251023001219
Provider NameMariell J Sabado
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1639045214
PECOS PAC ID: 1850879875
Enrollment ID: I20260131000906
Provider NameMolly Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700557808
PECOS PAC ID: 3476943515
Enrollment ID: I20260210003806
Provider NameTianna J Chandler
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1811846835
PECOS PAC ID: 0042793184
Enrollment ID: I20260317001306

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Colorado Concussion Clinic is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Colorado Concussion Clinic
4251 Kipling St Unit 405,
Wheat Ridge, CO 80033-6833

Ph: (303) 932-2030		Colorado Concussion Clinic
4251 Kipling St Unit 405,
Wheat Ridge, CO 80033-6833

Ph: (303) 932-2030

Reviews and Comments



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