Elise Marie Itano, MD | |
2750 Broadway St, Boulder, CO 80304 | |
(303) 440-3000 | |
Not Available |
Full Name | Elise Marie Itano |
---|---|
Gender | Female |
Speciality | Physical Medicine And Rehabilitation |
Experience | 10 Years |
Location | 2750 Broadway St, Boulder, 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 |
---|---|---|---|
1225449754 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 0062819 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Boulder Community Health | Boulder, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Boulder Medical Center, Pc | 4183536204 | 79 |
Dr Poole Professional Corporation | 9133479546 | 10 |
Theraphysics Partners Of Colorado Inc | 8729998406 | 41 |
Entity Name | Boulder Medical Center, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306820923 PECOS PAC ID: 4183536204 Enrollment ID: O20031105000512 |
Entity Name | Dr Poole Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861986465 PECOS PAC ID: 9133479546 Enrollment ID: O20240110003663 |
Mailing Address | Practice Location Address |
---|---|
Elise Marie Itano, MD 3727 Pecos St, Denver, CO 80211-2655 Ph: (210) 367-1223 | Elise Marie Itano, MD 2750 Broadway St, Boulder, CO 80304 Ph: (303) 440-3000 |
John Tobey, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 5387 Manhattan Cir, Suite 200, Boulder, CO 80303 Phone: 303-494-7773 | |
Britt Garcia, PT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 350 Ponca Pl, Boulder, CO 80303 Phone: 720-562-4413 | |
Michael Craig Mahan, PT, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3000 Center Green Dr Ste 300, Boulder, CO 80301 Phone: 303-413-9903 Fax: 303-413-9907 | |
Mr. Kyle S Kahl, MS, ATC Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 5603 Arapahoe Ave Ste 5, Boulder, CO 80303 Phone: 303-903-9419 | |
Olivia Covin, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1800 Broadway Ste 190, Boulder, CO 80302 Phone: 720-869-1857 | |
Julie A Stapleton, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 5277 Manhattan Cir, Suite 100, Boulder, CO 80303 Phone: 303-499-9950 |