Gino Jose Bardi Lola, MD in Douglas, AZ

Gino Jose Bardi Lola, MD is a medicare enrolled "Pediatrics" physician in Douglas, Arizona. His current practice location is 815 E 15th St, Douglas, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 364-5437.

Gino Jose Bardi Lola is licensed to practice in Arizona (license number 65304) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700230109.

Contact Information

	Gino Jose Bardi Lola, MD
	815 E 15th St, Douglas, AZ 85607-1631
	(520) 364-5437
	Not Available

Map and Direction

Physician's Profile

Full Name	Gino Jose Bardi Lola
Gender	Male
Speciality	Pediatrics
Location	815 E 15th St, Douglas, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700230109
Provider Enumeration Date: 04/21/2016
Last Update Date: 02/14/2024

Medicare PECOS Information:

PECOS PAC ID: 3971830464
Enrollment ID: I20220615001320

Medical Identifiers

Medical identifiers for Gino Jose Bardi Lola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700230109	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	65304 (Arizona)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Gino Jose Bardi Lola allows following entities to bill medicare on his behalf.

Entity Name	Chiricahua Community Health Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942241443 PECOS PAC ID: 5395638878 Enrollment ID: O20040206000860

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gino Jose Bardi Lola is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Gino Jose Bardi Lola, MD 1205 N F Ave, Douglas, AZ 85607-1920 Ph: (520) 459-3110	Gino Jose Bardi Lola, MD 815 E 15th St, Douglas, AZ 85607-1631 Ph: (520) 364-5437

Reviews and Comments

Pediatrics Doctors in Douglas, AZ

Peter Anthony Rice, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 815 E 15th St, Douglas, AZ 85607 Phone: 520-364-5437 Fax: 520-364-4261
Dr. Milla Sergeerna Rosen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 815 E 15th St, Douglas, AZ 85607 Phone: 520-364-5437 Fax: 520-364-4261
Eduardo Antonio Marrero Velis, Pediatrics Medicare: Medicare Enrolled Practice Location: 815 E 15th St, Douglas, AZ 85607 Phone: 520-364-5437 Fax: 520-364-4261
Dr. Neftali Francisco Fernandez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 815 E 15th St, Douglas, AZ 85607 Phone: 520-364-5437 Fax: 520-364-4261
Dr. Zachary Sean Patterson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 815 E 15th St, Douglas, AZ 85607 Phone: 520-364-5437 Fax: 520-805-2986
Jennifer Rebecca Albon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 815 E 15th St, Pediatric Center Of Excellence, Douglas, AZ 85607 Phone: 520-364-5437 Fax: 520-364-4261
Jonathan Paul Melk, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 815 E 15th Street, Douglas, AZ 85607 Phone: 520-364-5437 Fax: 520-805-2985

Gino Jose Bardi Lola, MD - Medicare Pediatrics in Douglas, AZ