| Dr Mary Virginia Macentee, MD | |
|
1601 E 19th Ave, Denver, CO 80218-1216 | |
| (303) 839-7788 | |
| Not Available |
| Full Name | Dr Mary Virginia Macentee |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Critical Care Medicine |
| Location | 1601 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 |
|---|---|---|---|
| 1164484739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 58152 (Arizona) | Secondary |
| 2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 31931 (Colorado) | Primary |
| Entity Name | Tmc Medical Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750832283 PECOS PAC ID: 9638457013 Enrollment ID: O20161107000996 |
| Entity Name | Northern Arizona Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669914552 PECOS PAC ID: 3577473362 Enrollment ID: O20170801003409 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Virginia Macentee, MD 9309 E Evans Pl, Denver, CO 80231-3433 Ph: (303) 873-6892 | Dr Mary Virginia Macentee, MD 1601 E 19th Ave, Denver, CO 80218-1216 Ph: (303) 839-7788 |
Dr. Lisa Marie Griss, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1719 E 19th Ave, Denver, CO 80218 Phone: 303-754-4400 | |
Gregory Q Miranda, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 777 Bannock St, Mc 7782, Denver, CO 80204 Phone: 303-436-6000 | |
John W Ogle, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 777 Bannock St, Mc 7782, Denver, CO 80204 Phone: 303-436-6000 | |
Dr. Lisa D Whitesides, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10400 E Alameda Ave, Denver, CO 80247 Phone: 303-338-4545 | |
Kevin Friedman, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: University Of Colorado School Of Medicine, Denver, CO 80262 Phone: 303-493-7000 | |
Dr. Danielle Roberts, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 777 Bannock St, Denver, CO 80204 Phone: 303-602-9250 | |
Ruby L Kadota, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10350 E Dakota Ave, Denver, CO 80247 Phone: 303-338-3800 |