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Collin Richard Walentine

Student in an Organized Health Care Education/Training Program

Student, Health Care

601 E Hampden Ave Ste 470, Englewood, CO 80113-2797

PECOS Enrollment

This provider is enrolled in PECOS as COLLIN WALENTINE.

Based on the most recent information from CMS, provider Collin Richard Walentine is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 10:26 AM.

Profile Details

Provider ID
1265172464
Provider Type
Individual
Full Name
Walentine, Collin Richard
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
3/29/2022
Last Updated
4/1/2022

Contact Information

Practice Location

601 E Hampden Ave Ste 470, Englewood, CO 80113-2797

(303) 788-3100

(303) 788-3197

Mailing Location

601 E Hampden Ave Ste 470, Englewood, CO 80113-2797

(303) 778-3100

(303) 778-3197

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Collin Richard Walentine

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Moen, Claire Elizabeth

Campbell, Spring W

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