Marissa Lee Fahrbach, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Boulder, Colorado. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Boulder Valley Gastroenterology Inc. and her current practice location is
1755 48th St Ste 100, Boulder, Colorado. You can reach out to her office (for appointments etc.) via phone at
(303) 604-5000.
Marissa Lee Fahrbach is licensed to practice in Colorado (license number 0994226) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1427430032.
Provider's Profile
| Full Name | Marissa Lee Fahrbach |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 9 Years |
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| Location | 1755 48th St Ste 100, Boulder, Colorado |
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| Accepts Medicare Assignments | Yes. She 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:
- Marissa Lee Fahrbach graduated from nursing school in 2015
NPI Data:
- NPI Number: 1427430032
- Provider Enumeration Date: 06/19/2015
- Last Update Date: 03/05/2020
Medicare PECOS Information:
- PECOS PAC ID: 9931419181
- Enrollment ID: I20181219000859
Medical Identifiers
Medical identifiers for Marissa Lee Fahrbach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427430032 | NPI | - | NPPES |
| 9000171761 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 103068 (Kansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 557356 (Kansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0994226 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Boulder Valley Gastroenterology Inc. | 4688577174 | 47 |
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. Marissa Lee Fahrbach allows following entities to bill medicare on her behalf.
| Entity Name | Boulder Valley Gastroenterology Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902832603
PECOS PAC ID: 4688577174
Enrollment ID: O20040130001035 |
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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. Marissa Lee Fahrbach 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 |
|---|
Marissa Lee Fahrbach,
382 S Arthur Ave,
Louisville, CO 80027-3094
Ph: (303) 604-5000 | Marissa Lee Fahrbach,
1755 48th St Ste 100,
Boulder, CO 80301-2712
Ph: (303) 604-5000 |
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