| Dr Brooke Melissa Walls, DO | |
|
332 W Main St Unit 101, Aspen, CO 81611-1614 | |
| (970) 920-0067 | |
| Not Available |
| Full Name | Dr Brooke Melissa Walls |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 16 Years |
| Location | 332 W Main St Unit 101, Aspen, 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 |
|---|---|---|---|
| 1205161478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | DR.0060516 (Colorado) | Secondary |
| 207N00000X | Dermatology | DR.0060516 (Colorado) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bella Derma, Llc | 2466424072 | 14 |
| Entity Name | Bella Derma, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730106642 PECOS PAC ID: 2466424072 Enrollment ID: O20040812000579 |
| Entity Name | Epiphany Dermatology Of Colorado Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992297469 PECOS PAC ID: 8921354341 Enrollment ID: O20180627001525 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brooke Melissa Walls, DO 7300 Ranch Road 2222, Building 1, Ste 200, Austin, TX 78730 Ph: (512) 628-0465 | Dr Brooke Melissa Walls, DO 332 W Main St Unit 101, Aspen, CO 81611-1614 Ph: (970) 920-0067 |
Dr. Kenneth B Bielinski, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 900 E Durant Ave Apt 113, Aspen, CO 81611 Phone: 815-919-9233 | |
Dr. Ronald M Razzore, MD Dermatology Medicare: Medicare Enrolled Practice Location: 611 W Main St, Aspen, CO 81611 Phone: 970-920-0067 Fax: 970-920-0124 | |
Dr. Katha Rossein, MD Dermatology Medicare: Medicare Enrolled Practice Location: 611 W Main St, Aspen, CO 81611 Phone: 970-920-0067 Fax: 970-920-0124 |