Jennifer De Toledo Mallek, MD | |
12911 W 40th Ave, Wheat Ridge, CO 80401-2696 | |
(303) 425-4500 | |
Not Available |
Full Name | Jennifer De Toledo Mallek |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Experience | 18 Years |
Location | 12911 W 40th Ave, Wheat Ridge, 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 |
---|---|---|---|
1588950513 | NPI | - | NPPES |
014756100 | Medicaid | FL | |
1588950513 | Medicaid | CO | |
TRN15938 | Other | FL | TRAINING LICENCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | ME123239 (Florida) | Secondary |
207L00000X | Anesthesiology | TRN15938 (Florida) | Secondary |
207L00000X | Anesthesiology | 0056931 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lutheran Medical Center | Wheat ridge, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Elite Anesthesia Concepts Inc | 6507964251 | 11 |
Boulder Valley Anesthesiology, Pllc | 7113830993 | 54 |
Physician Anesthesia Services Pc | 7517947146 | 37 |
Entity Name | University Physicians Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962461889 PECOS PAC ID: 3476465667 Enrollment ID: O20031105000375 |
Entity Name | Boulder Valley Anesthesiology, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962431668 PECOS PAC ID: 7113830993 Enrollment ID: O20031107000375 |
Entity Name | Physician Anesthesia Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861476590 PECOS PAC ID: 7517947146 Enrollment ID: O20040723000048 |
Entity Name | 5280 Anesthesia P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689789927 PECOS PAC ID: 2365440559 Enrollment ID: O20061122000467 |
Entity Name | Elite Anesthesia Concepts Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215049804 PECOS PAC ID: 6507964251 Enrollment ID: O20070605000086 |
Entity Name | Epic Anesthesia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770812760 PECOS PAC ID: 2062548605 Enrollment ID: O20100407000329 |
Entity Name | Diehl Anesthesia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467833897 PECOS PAC ID: 6800197575 Enrollment ID: O20151229000111 |
Mailing Address | Practice Location Address |
---|---|
Jennifer De Toledo Mallek, MD Dept. 42655, P.o. Box 650823, Dallas, TX 75265 Ph: () - | Jennifer De Toledo Mallek, MD 12911 W 40th Ave, Wheat Ridge, CO 80401-2696 Ph: (303) 425-4500 |
Phillip L Engen, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 7809 W 38th Ave, Suite 200, Wheat Ridge, CO 80033 Phone: 303-463-6000 Fax: 303-463-6001 | |
Dr. Coleen Renee Hurd, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 8300 W 38th Ave, Wheat Ridge, CO 80033 Phone: 303-422-9438 | |
Heidi B Green, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8300 W 38th Ave, Wheat Ridge, CO 80033 Phone: 303-422-9438 | |
Michael Peter Burzynski, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 8300 W 38th Ave, Wheat Ridge, CO 80033 Phone: 303-422-9438 | |
Arielle Elizabeth Bauer, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8300 W 38th Ave, Wheat Ridge, CO 80033 Phone: 303-422-9438 | |
James K Whitaker, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8300 W 38th Ave, Wheat Ridge, CO 80033 Phone: 303-422-9438 Fax: 303-422-9474 | |
Christine Campbell Irelan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8300 W 38th Ave, Wheat Ridge, CO 80033 Phone: 303-422-9438 Fax: 303-422-9474 |