| Dr Jodi Michelle Carrillo, MD, PHD | |
|
1375 E 19th Ave, Denver, CO 80218-1114 | |
| (303) 338-4545 | |
| Not Available |
| Full Name | Dr Jodi Michelle Carrillo |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 1375 E 19th Ave, Denver, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942434006 | NPI | - | NPPES |
| 027028 | Other | CO | KAISER COMMERCIAL NUMBER |
| 1942434006 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 60141 (Wisconsin) | Secondary |
| 207P00000X | Emergency Medicine | 0056362 (Colorado) | Primary |
| Entity Name | Intermountain Medical Group Denver, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083021083 PECOS PAC ID: 0840513552 Enrollment ID: O20150106000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jodi Michelle Carrillo, MD, PHD 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: () - | Dr Jodi Michelle Carrillo, MD, PHD 1375 E 19th Ave, Denver, CO 80218-1114 Ph: (303) 338-4545 |
Paul William Schadler, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1202 5th St, Plaza Building, Suite 150, Denver, CO 80204 Phone: 303-556-2525 Fax: 303-556-3881 | |
Dr. Rochelle Ravishankara, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1375 E 19th Ave, Denver, CO 80218 Phone: 303-338-4545 | |
Graham S Ingalsbe, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Bannock St, Denver, CO 80204 Phone: 303-602-5183 | |
Cecilia Sorensen, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Bannock St, Denver, CO 80204 Phone: 303-436-6000 | |
Lauran Wirfs, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5250 Leetsdale Dr, Denver, CO 80246 Phone: 303-629-5293 | |
Dr. David Pettit, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Dept #0861, Denver, CO 80256 Phone: 866-898-7136 Fax: 616-975-9824 | |
Alan J. Como, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1719 E 19th Ave, Denver, CO 80218 Phone: 303-839-7111 Fax: 303-306-7753 |