Philip Charles Marin, MD is a medicare enrolled "Plastic Surgery" physician in Pueblo, Colorado. His current practice location is
1304 N Grand Ave, Pueblo, Colorado. You can reach out to his office (for appointments etc.) via phone at
(719) 669-8487.
Philip Charles Marin is licensed to practice in Colorado (license number 40500) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205868544.
Physician's Profile
| Full Name | Philip Charles Marin |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1304 N Grand Ave, Pueblo, Colorado |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Philip Charles Marin attended and graduated from in
NPI Data:
- NPI Number: 1205868544
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 04/05/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Philip Charles Marin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205868544 | NPI | - | NPPES |
| 61101 | Other | | HUMANA GOLD |
| 00073 | Other | | HMO CO |
| P00213540 | Other | | MEDICARE RAILROAD |
| TDDIR | Other | | TRICARE |
| 00320 | Other | | INSURANCE |
| MA65799 | Other | CO | BLUE CROSS BLUE SHIELD |
| 71412 | Other | | UNITED OF OMAHA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 0040500 (Colorado) | Secondary |
| 208200000X | Plastic Surgery | 40500 (Colorado) | Primary |
| 2082S0105X | Plastic Surgery - Surgery Of The Hand | 40500 (Colorado) | Secondary |
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. Philip Charles Marin 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 |
|---|
Philip Charles Marin, MD
1304 N Grand Ave,
Pueblo, CO 81003-2718
Ph: (719) 669-8487 | Philip Charles Marin, MD
1304 N Grand Ave,
Pueblo, CO 81003-2718
Ph: (719) 669-8487 |
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