Mrs Marilyn Ann Gandolph, PHYSICIAN ASSISTANT in Louisville, CO

Mrs Marilyn Ann Gandolph, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant - Medical" in Louisville, Colorado. Her current practice location is 325 W S Boulder Rd Ste 101, Louisville, Colorado. You can reach out to her office (for appointments etc.) via phone at (720) 519-1596.

Mrs Marilyn Ann Gandolph is licensed to practice in Colorado (license number 3015) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154388148.

Contact Information

	Mrs Marilyn Ann Gandolph, PHYSICIAN ASSISTANT
	325 W S Boulder Rd Ste 101, Louisville, CO 80027-1130
	(720) 519-1596
	(720) 542-9408

Map and Direction

Provider's Profile

Full Name	Mrs Marilyn Ann Gandolph
Gender	Female
Speciality	Physician Assistant - Medical
Location	325 W S Boulder Rd Ste 101, Louisville, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154388148
Provider Enumeration Date: 04/26/2006
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 0749466100
Enrollment ID: I20110519000156

Medical Identifiers

Medical identifiers for Mrs Marilyn Ann Gandolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154388148	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	3015 (Colorado)	Primary

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. Mrs Marilyn Ann Gandolph 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
Mrs Marilyn Ann Gandolph, PHYSICIAN ASSISTANT 325 W S Boulder Rd Ste 101, Louisville, CO 80027-1130 Ph: (720) 519-1596	Mrs Marilyn Ann Gandolph, PHYSICIAN ASSISTANT 325 W S Boulder Rd Ste 101, Louisville, CO 80027-1130 Ph: (720) 519-1596

Reviews and Comments

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Mrs Marilyn Ann Gandolph, PHYSICIAN ASSISTANT - Medicare Physician Assistant in Louisville, CO