Michael O Beer, PA
Individual provider Active NPI Physician Assistant · Longmont, CO
NPI 1124096839 · NPPES record last updated Nov 8, 2013
Key facts
- NPI
- 1124096839
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA.0002622 (CO)
- Practice address
- 220 E Rogers Rd
Longmont, CO 80501-6027 - Phone
- (303) 776-3250
- Fax
- (303) 682-9269
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Salud Family Health
Practice addresses (Care Compare)
220 E Rogers Rd
Longmont, CO 80501-6027
Phone (303) 776-3250
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081231000084 | CO | Practitioner - Physician Assistant | 5193708758 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0002622 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salud Family Health | Current |
Accepting new patients | |
| Salud Family Health | Current |
Accepting new patients | |
| Salud Family Health | Current | Accepting new patients | |
| Salud Family Health | Past | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Past | Accepting new patients | |
| Salud Family Health | Past | Accepting new patients | |
| Salud Family Health | Past | Accepting new patients |
Locations
203 S Rollie Ave
Fort Lupton, CO 80621
Phone (303) 286-4560
5995 Iris Pkwy
Frederick, CO 80504
Phone (303) 833-2050
220 E Rogers Rd
Longmont, CO 80501
Phone (303) 776-3250
Interoperability endpoints
- michael.beer@sfhc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.0002622 | CO | Yes |
Addresses
Primary practice location
220 E Rogers Rd
Longmont, CO 80501-6027
Mailing address
203 S Rollie Ave
Fort Lupton, CO 80621-1508
Phone (303) 286-4560
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12722766 | Medicaid | CO |
Other providers in Longmont, CO
- Kimberly Ann Beck
- F Richard Beckwith
- Frank G Becvar
- Simranjit Singh Bedi
- James Alexander Bednarek
- Mary Agnes Beggs
- Begin Again Institute
- Edward Michael Behmer
- Samantha Behner
- Kaitlyn Marie Beitinger
All providers in Longmont, CO · Physician Assistant in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.