MEDICARE: JENNIFER H CASKEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	24450	CO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	010023873	OTHER	CO	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518965458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER H CASKEY M.D.

Provider Business Mailing Address
First Line	:	3550 LUTHERAN PKWY STE 100A
Second Line	:
City	:	WHEAT RIDGE
State	:	CO
Zip	:	80033-6013
Country	:	US
Telephone Number	:	303-403-7333
Fax Number	:	303-403-7335

Provider Business Practice Location Address
First Line	:	3550 LUTHERAN PKWY STE 100A
Second Line	:
City	:	WHEAT RIDGE
State	:	CO
Zip	:	80033-6013
Country	:	US
Telephone Number	:	303-403-7333
Fax Number	:	303-403-7335

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	02/23/2012

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