MEDICARE: CIRCLE MEDICAL CARE GROUP PA

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1780439588
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CIRCLE MEDICAL CARE GROUP PA

Provider Business Mailing Address
First Line	:	333 1ST ST STE A
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94105-2661
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4610 S ULSTER ST STE 150
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80237-4326
Country	:	US
Telephone Number	:	888-803-3370
Fax Number	:	888-803-3331

Authorized Official
Title or Position	:	PAYOR RELATIONSHIP MANAGER
Name	:	MAYA ZILBERG
Credential	:
Telephone Number	:	888-803-3370

Provider Enumeration Date	:	04/23/2024
Last Update Date	:	04/23/2024

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Directions to “CIRCLE MEDICAL CARE GROUP PA ” Practice Location

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