Dr Brooke Melissa Walls, DO | |
332 W Main St Unit 101, Aspen, CO 81611-1614 | |
(970) 920-0067 | |
Not Available |
Full Name | Dr Brooke Melissa Walls |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 15 Years |
Location | 332 W Main St Unit 101, Aspen, Colorado |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205161478 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | DR.0060516 (Colorado) | Secondary |
207N00000X | Dermatology | DR.0060516 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Valley View Hospital Association | Glenwood springs, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bella Derma, Llc | 2466424072 | 11 |
Entity Name | Bella Derma, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730106642 PECOS PAC ID: 2466424072 Enrollment ID: O20040812000579 |
Entity Name | Aspen Center For Cosmetic Medicine Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417178963 PECOS PAC ID: 8527323997 Enrollment ID: O20180606000827 |
Entity Name | Epiphany Dermatology Of Colorado Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992297469 PECOS PAC ID: 8921354341 Enrollment ID: O20180627001525 |
Mailing Address | Practice Location Address |
---|---|
Dr Brooke Melissa Walls, DO 7300 Ranch Road 2222, Building 1, Ste 200, Austin, TX 78730 Ph: (512) 628-0465 | Dr Brooke Melissa Walls, DO 332 W Main St Unit 101, Aspen, CO 81611-1614 Ph: (970) 920-0067 |
Dr. Ronald M Razzore, MD Dermatology Medicare: Medicare Enrolled Practice Location: 611 W Main St, Aspen, CO 81611 Phone: 970-920-0067 Fax: 970-920-0124 | |
Dr. Katha Rossein, MD Dermatology Medicare: Medicare Enrolled Practice Location: 611 W Main St, Aspen, CO 81611 Phone: 970-920-0067 Fax: 970-920-0124 |