11245 HURON ST
WESTMINSTER, CO 80234-2806 US PECOS Enrolled
Renee L MiciellI
Internal Medicine Physician
- WESTMINSTER, CO
- Phone: (303)-338-4545
- Last Updated 4/26/2021
Overview
Renee L MiciellI is a Internal Medicine Physician in the WESTMINSTER area and has over 20 years of experience. Renee L MiciellI primary office location is at 11245 HURON ST and new patients are welcome to contact this healthcare provider for an appointment. She attended University Of Michigan Medical School and graduated 2004 The NPI number is 1134248545 and the information was updated approximately 3 years ago.
Renee L MiciellI is affiliated with one medical group in the WESTMINSTER area, COLORADO PERMANENTE MEDICAL GROUP PC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 4301084127 | MI |
| 49195 | CO |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 32303882 | CO |
| KAISER COMMERCIAL NUMBER | 021044 | CO |
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician - Taxonomy Code 207R00000X | CO | Y |
| Student - Taxonomy Code 390200000X | MI | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20110113000513 |
| PECOS Individual PAC ID: | 3274603642 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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