Mario J Imola, MD | |
3600 S Logan St, Suite 100, Englewood, CO 80113-3766 | |
(303) 839-7980 | |
(303) 839-7936 |
Full Name | Mario J Imola |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 37 Years |
Location | 3600 S Logan St, Englewood, Colorado |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932101490 | NPI | - | NPPES |
841553144 | Other | CO | TAX ID |
117142900 | Medicaid | WY | |
95739831 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YS0123X | Otolaryngology - Facial Plastic Surgery | 38335 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hca-healthone Dba Swedish Medical Center | Englewood, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Colorado Facial Plastic Surgery Center Inc | 6305977745 | 2 |
Entity Name | Colorado Facial Plastic Surgery Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114068376 PECOS PAC ID: 6305977745 Enrollment ID: O20100628001032 |
Entity Name | Trauma And Emergency Subspecialty Surgeons Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740543933 PECOS PAC ID: 1951559293 Enrollment ID: O20120912000182 |
Mailing Address | Practice Location Address |
---|---|
Mario J Imola, MD 3600 S Logan St, Suite 100, Englewood, CO 80113-3766 Ph: (303) 839-7980 | Mario J Imola, MD 3600 S Logan St, Suite 100, Englewood, CO 80113-3766 Ph: (303) 839-7980 |
Andre L Reed, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 701 E Hampden Ave Ste 420, Englewood, CO 80113 Phone: 303-781-0404 Fax: 303-781-0804 | |
Dr. Andrew J Nemechek, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 701 E Hampden Ave Ste 225, Englewood, CO 80113 Phone: 303-788-9200 Fax: 303-781-4368 | |
Dr. Jeffrey Le Schmidt, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 125 Inverness Dr E, Suite 250, Englewood, CO 80112 Phone: 720-443-2235 | |
Paul G Van Der Sloot, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 701 E Hampden Ave Ste 225, Englewood, CO 80113 Phone: 303-788-9200 Fax: 303-781-4368 | |
David C Kelsall, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 601 E Hampden Avenue, Suite 430, Englewood, CO 80113 Phone: 303-783-9220 Fax: 303-806-6292 | |
Dr. Steven Briggs Aragon, MD, DDS Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 125 Inverness Dr E, Suite 100, Englewood, CO 80112 Phone: 303-773-8228 Fax: 720-895-8333 | |
Emily Sarah Misch, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 500 E Hampden Ave Ste 300, Englewood, CO 80113 Phone: 330-714-6937 |