Kelley M Glancey (NPI# 1255494613, PAC ID# 7315983509) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1255494613 |
PAC ID by PECOS | 7315983509 |
Professional Enrollment ID | I20080612000410 |
Full Name | Kelley M Glancey |
Organization Legal Name | BYERS PEAK FAMILY MEDICINE |
Address |
78878 Us Hwy 40 106 Winter Park CO 80482 |
Phone Number | 3037220300 |
Gender | F |
Credential | MD |
Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2002 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 0446280325 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
061318 | MIDDLE PARK MEDICAL CENTER |
060015 | CENTURA HEALTH-ST ANTHONY HOSPITAL |
Address | Phone | Organization |
---|---|---|
78878 Us Hwy 40 106, Winter Park, CO 80482 | 3037220300 | BYERS PEAK FAMILY MEDICINE |
Organization Legal Name | BYERS PEAK FAMILY MEDICINE |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Catherine C Hankla | Family Medicine | Byers Peak Family Medicine | 78878 Us Hwy 40 106, Winter Park, CO 80482 |
James G Kennedy | Family Practice | Byers Peak Family Medicine | 78878 Us Hwy 40 106, Winter Park, CO 80482 |
Street Address |
78878 US HWY 40 106 |
City | WINTER PARK |
State | CO |
Zip | 80482 |
Name | Specialty | Organization | Address |
---|---|---|---|
Catherine C Hankla | Family Medicine | Byers Peak Family Medicine | 78878 Us Hwy 40 106, Winter Park, CO 80482 |
James G Kennedy | Family Practice | Byers Peak Family Medicine | 78878 Us Hwy 40 106, Winter Park, CO 80482 |
City | WINTER PARK |
Zip Code | 80482 |
Specialty | FAMILY MEDICINE |
City + Specialty | WINTER PARK + FAMILY MEDICINE |
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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.