Andrea C Devita (NPI# 1548294515, PAC ID# 4880848282) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
Nation Provider ID (NPI) | 1548294515 |
PAC ID by PECOS | 4880848282 |
Professional Enrollment ID | I20181228001772 |
Full Name | Andrea C Devita |
Address |
12886 W Montane Circle Broomfield CO 80021-2815 |
Phone Number | 2023021895 |
Gender | F |
Graduation Year | 1990 |
Primary Specialty | CLINICAL SOCIAL WORKER |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
12886 W Montane Circle, Broomfield, CO 80021-2815 | 2023021895 |
Street Address |
12886 W MONTANE CIRCLE |
City | BROOMFIELD |
State | CO |
Zip | 80021-2815 |
Name | Specialty | Organization | Address |
---|---|---|---|
Megan Leigh Kelly | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
Maxine Leota Banecks | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
Christine R Riguzzi | Emergency Medicine | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
Etienne N Janco | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
Jody L Gottesman | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
Maria Lynn Martin | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
Lisa Evensky-stark | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
Kevin Berg | General Surgery | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
Kelly E Gahan | Emergency Medicine | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
Stephanie M Burke | Clinical Social Worker | Poudre Valley Medical Group LLC | 11820 Destination Dr, Broomfield, CO 80021-2518 |
Find all physicians in zip 80021 |
City | BROOMFIELD |
Zip Code | 80021 |
Specialty | CLINICAL SOCIAL WORKER |
City + Specialty | BROOMFIELD + CLINICAL SOCIAL WORKER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.