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Bethany Engblom

  • Female

Medical Specialty

Professional ID

  • NPI: 1134383516
  • PECOS ID: 3274679220
  • Enrollment ID: I20161004000152
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2009

Hospital Service

  • Hospital CCN1: 060030
  • Business Name (LBN)1: Mckee Medical Center
  • Hospital CCN2: 060119
  • Business Name (LBN)2: Medical Center Of The Rockies

Medical Practices

  • Organization Name: Sunrise Community Health
  • Group Practice ID assigned by PECOS: 0648164780
  • Number of Group Practice member: 25

Location

  • Address1: 2930 11th Ave
  • Address2:
  • City: Evans
  • State: Colorado
  • Zip Code: 80620
  • Phone Number: (970)353-9403

Medical Practices

  • Organization Name: Banner Health Physicians Colorado Llc
  • Group Practice ID assigned by PECOS: 8921273038
  • Number of Group Practice member: 274

Location

  • Address1: 2555 E 13th St
  • Address2: Suite 105
  • City: Loveland
  • State: Colorado
  • Zip Code: 80537
  • Phone Number: (970)820-6300

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):